Forms | B J Hanna and Sons Limited

Forms

Discount Application Form

Date
Estimated Monthly Purchase
Billing Information
Full Legal Business Name
Business Phone Number
Business Fax Number
Email address
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person (s)
Type of business
Signature of Authorized Officer
Date
Official Use Only
Approval Authorized Officer
Discount Approved
Date
Comments

Credit Account Application

Date
Anticipated Monthly Purchase Volume
FOR OFFICE USE ONLY: Credit Limit $
Billing Information For Applicant
Full Legal Business Name
Business Phone Number
Business Fax Number
Current Address (cannot be a P.O.)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing address (if different from current address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Credit Information

Director(s), Principal(s) &/or Authorized Officer(s)
Full Name
Title
Full Name
Title
Full Name
Title
Person to contact regarding the account
Main Line of Business
Date Business was Established:
Taxpayer Registration Number
G.C.T No.
Type of Business (Legal Structure)
- Sole Trader
- Individual trading under registered business name
- Partnership
- Company trading under its own name
- Company trading under registered business name
ASSETS (List 3 main business assets)
1. Asset Value
2. Asset Value
3. Asset Value
Bank References
Bank Name
Branch
Account No.
Phone Number
Fax Number
Contact Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I/We hereby authorize B.J. Hanna & Sons Limited to investigate my/our personal credit and financial records and without limiting the generality of the foregoing I/we hereby authorize, direct and request my/our bank pursuant to section 45(2) of the Banking Act to furnish to B.J. Hanna & Sons Limited any and all information from and/or concerning my/our banking and financial records which may be requested by or on behalf of B. J. Hanna & Sons Limited.
Signature of Authorized Officer
Date
Signature of Authorized Officer
Date
Trade References
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
How Long
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
How Long
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
How long
Personal Guarantee
Name
First Middle Last
Taxpayer Registration Number
Present Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone Number
Other contact details
Name
First Middle Last
Taxpayer Registration Number
Present Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone Number
Other contact details
1. Asset Value
2. Asset Value
3. Asset Value
In consideration of B.J. Hanna & Sons Limited extending credit to the applicant in order to make purchases from B.J. Hanna & Sons Limited under the terms and conditions attached to this application. I/we agree to personally guarantee payment of the debt, including any interest and any reasonable attorney’s fees and court or other collection costs to the maximum extent permitted by law. In the event of any default I agree that B.J. Hanna & Sons Limited can enforce this guarantee without first notifying or proceeding against the debtor. I/we agree to guarantee payment even if the terms and/or conditions of the governing agreement are changed and whether or not any indulgence has been granted to the applicant.
Personal Guarantor
Date
Personal Guarantor
Date
Signature

DO NOT SIGN THIS CREDIT ACCOUNT APPLICATION UNTIL YOU READ ALL OF THE TERMS AND CONDITIONS HEREIN
By signing below you certify that all the information provided in this application is true and correct, you are authorized to sign this application on behalf of the applicant and the applicant and you agree to be bound by the terms and conditions attached hereto.
Signature of Authorized Officer
Date
Signature of Authorized Officer
Date

Terms And Conditions

1. PERIOD – All invoices are payable in full within 30 days of the date of each invoice.

2. INTEREST – In the event of any invoice not being paid in full within the period of 30 days of its date, interest shall be payable at the rate of 15% per month on the amount outstanding from time to time until payment of the invoiced amount plus interest in full.

3. NO PENALTY – It is acknowledged and agreed that the rate and the method of calculation of interest represents a genuine pre-estimate of the loss likely to be sustained by B.J. Hanna & Sons Limited in the event of any invoices not being paid in full within 30 days of its date and the parties hereto represent to one another that the rate and the method of calculation of interest are not intended to be nor do they in fact constitute an unenforceable penalty.

4. RETURNED CHEQUE CHARGES – If any cheque is returned unpaid for any reason, a charge of $2,000.00 plus any applicable bank charges will be charged to your account.

5. FEES – If collection of amounts due on the credit account is placed in the hands of a collection agent or an Attorney-at-Law and/or if legal proceedings are taken to recover any amounts due, then all reasonable costs of collection, Attorney-at-Law’s fees, and court or other collection costs to the full extent permitted by law shall be charged to the credit account and shall be recoverable in the same manner as invoice charges and shall attract the same interest charges as invoice charges and such interest charges shall be calculated in the same manner as interest charges on invoiced amounts not paid in full within 30 days of the date of the invoice.

6. CLAIMS – Exchanges and/or returned goods must be accompanied by the original invoice within 14 days of the date of delivery. There can be no return of electrical parts.

Discount Application Form

Official Use Only

Credit Account Application

Billing Information For Applicant

Business Credit Information

Bank References

Trade References

Personal Guarantee

Signature

Terms And Conditions