Download Credit Application Form

First Name Mailing Address Owners Name

Last Name Business Name Business Address

Telephone #

Home #

Cell #

Fax #

Accounts Payable Contact Name and Email Length of Time in Business Name & Address of Bank

P.O Required Yes No Maximum Credit Limit Requested

<b>Cornwall Truck Maintenance Inc. Credit Policy & Payment Terms:</b> Cornwall Truck Maintenance requires that all accounts be paid on or before the 30th of every month, following the statement date. All past due accounts will be charged 2% a month and an annual service charge of 24%. All accounts past 60 days will be placed on C.O.D. I have authorized Cornwall Truck Maintenance Inc. to check the following credit references for my credit rating. In the event of a default in payment or a violation of Cornwall Truck Maintenance’ Inc. credit policy and payment terms, I agree to pay all collection costs including attorney’s fees. All N.S.F. cheques will have a service charge of $25. I assume personal liability for the above mentioned company. I have read and agree to Cornwall Truck Maintenance’ Inc. credit policy and payment terms.

Reference of four (4) major suppliers

Name Address Email Telephone Fax

<b>Special instructions/authorization/email procedure for the account:</b> Email

Cornwall truck maintenance