Credit Application Form - Canada

Once the credit application is submitted, we will process your request and contact you regarding your credit approval status.

Click here to download the credit application as a PDF file.

Region*

Date*

Sales Representative*

Company Name*

Bill To Address*

Phone*

Fax*

Website*

Ship to Address*

Phone*

Fax*

If your company is owned by or a division of another company, please list the corporate name and address.

Company Name*

Address*

Phone*

Fax*

Website*

Type of OwnershipCorporationPartnershipOther

President/Principal*

Phone*

Fax*

Email*

Purchasing Contact*

Phone*

Fax*

Email*

Acct Payable Contact*

Phone*

Fax*

Email*

Please Select Currency:USDCAD

Bill in LBS or KGS:LBKG

Federal ID#

Resale Tax Cert# (Copy Required)*

Credit Limit Requested $ *

Purchase Order RequiredYesNo

Contact for invoices.

Name*

Email*

Lead Bank Reference.

Name*

Address*

Account #*

Phone*

Email*

Resin Supplier Reference.

Name*

Address*

Phone*

Email*

Business Reference Where Credit is Now Extended.

Name*

Address*

Phone*

Email*

Business Reference Where Credit is Now Extended.

Name*

Address*

Phone*

Email*

Colortech, Inc. standard terms are net 30 days with shipments F.O.B. shipping point.

We are financially able to meet any commitments which we will make towards you and shall pay your invoices according to their terms. We agree that all products which we will purchase from you shall remain your property until the purchase price thereof is paid in full.

Electronic Signature

Title*

Date*

"Costs of Enforcement. Notwithstanding any other provision set forth in the Agreement, in the event that the purchaser does not meet its payment obligations set forth in the Agreement, Purchaser agrees to reimburse Colortech, Inc. for all out of pocket expenses and legal cost incurred by Colortech, Inc. to enforce such payment obligations, including but not limited to collection agency costs, attorney fees, arbitration fees, filing fees, detective agency fees, and accounting fees. Such cost shall be in addition to whatever other legal remedies or damages Colortech, Inc. may beentitled to under the law and pursuant to the terms of this Agreement." This agreement shall be governed by applicable Federal laws and the laws of the state of Tennessee.