Credit Application

Business Contact Information
Banking Information
Personal Contact Information for Guarantor
Business / Trade References
Email Updates
Agreement
Personal Guarantee

Business Contact Information

Legal Business Name

Operating Business Name

Bill To Address

Ship To Address (if different then Bill to):

Phone

Fax

HST Number

Date Business Commenced

Accounting Department Contact Name

Phone

Fax

Banking Information

Bank Name

Bank Address

Phone

Fax

Personal Contact Information For Guarantor

Name of Guarantor

Address

Phone

D/L No.

Business / Trade References

Company Name

Address

Phone

Fax

Company Name

Address

Phone

Fax

Sign Up To Recieve Email Updates On New Products Announcements, Special Promotions, Sales and More

Name

Agreement of Corporation/Sole Proprietor/Partnership

All invoices are to be paid within 30 days from the date of the invoice.
Claims arising from invoices must be made in writing within seven working days.
All overdue amounts shall accrue interest at the rate of ten per cent (10%) per annum, calculated annually.
Account credits are valid for a 12-month period after which they will become nil and void.
By submitting this application, you authorize Visco Industrial (Barrie) Inc. and/or Visco Industrial (Bolton) Inc., (“VISCO”) to make inquiries into the banking and business/trade references that you have supplied.

Company Name

hereby agrees to pay all amounts owing to Visco Industrial (Bolton) Inc. and/or to Visco Industrial (Barrie) Inc., (“VISCO”) including but not limited to all outstanding invoices, orders, claims or indebtedness, including interest on overdue amounts at the rate of ten per cent (10%) per annum, calculated annually together with payment of all substantial indemnity legal fees incurred by VISCO for all collection and enforcement actions taken.

Company Name

Date

Personal Guarantee

Your Name

for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, hereby personally guarantee the indebtedness of

Company Name

to Visco Industrial (Bolton) Inc. and/or to Visco Industrial (Barrie) Inc. I agree to be personally responsible and liable to pay all amounts owing under this credit agreement (jointly and severally), including but not limited to all outstanding invoices, orders, claims or indebtedness, including interest on overdue amounts at the rate of ten per cent (10%) per annum, calculated annually together with payment of all substantial indemnity legal fees incurred by VISCO for all collection and enforcement actions taken.

Guarantor’s Name and Title

Date