APPLICATION FOR CREDIT

Contractors are our Business! We want you to succeed. When you succeed, we succeed. It’s that simple. We’ll stock what you need. We’ll deliver on time. We’ll be competitive. We’ve been doing it for over 60 years. Great Service - Knowledgeable Staff - Quality Building Products.

Application for Credit

Required Fields

Trade Name

Legal Name

Business Phone

Business Fax

Physical Address

Street Address 1

Street Address 2

City

Province

Post Code

Mailing Address

Mailing address is the same as the physical address.

Business Details

Legal Structure

Corporation Legal Name

Year Business Established

Describe Business

Have you or any of the owners/partners ever declared bankrupcy? Yes No

Owners, Partners, or Officers of Company

Owner 1

Name

Title

% of Ownership

Home Phone

Mobile Phone

Address

City, Province

Owner 2

Name

Title

% of Ownership

Home Phone

Mobile Phone

Address

City, Province

Bank Information

Bank Name

Bank Contact Person

Bank Address

Account Number

Do you currently have an established line of credit with your bank?

Yes No

Accounts Payable

Do you require purchase orders for each order? Yes No

Contact Name

Phone

Authorized Employees within your company, who can purchase on behalf of the company

Employee 1

Name

Position

Employee 2

Name

Position

Employee 3

Name

Position

Credit References

Reference 1

Business Name

City

Contact Person

Account Number

Phone

Reference 2

Business Name

City

Contact Person

Account Number

Phone

Reference 3

Business Name

City

Contact Person

Account Number

Phone

I/We have the authority to sign for and bind the corporation. I/we consent to Adams Building Supply Limited obtaining credit information about us personally and about the applicant from third parties at any time during the application process and afterwards. Further, if an account is opened, I/we consent to the disclosure to credit reporting agencies and to Adams Building Supply Limited suppliers our credit status with Adams Building Supply Limited. We represent and warrant that the information in this application is true and correct in all material aspects.

The undersigned consents to the obtaining of such credit information as Adams Building Supply Limited may require at any time in connection with the credit hereby applies for, or any renewal or extension thereof; and further consents to the disclosure of any information concerning the undersigned to any credit report agency, or any person with whom the undersigned, has or proposes to have financial relations. I/we also declare that the information disclosed in the application represents a true and accurate presentation of our current financial position in all respects.

Date

Authorized Signature

Witness Signature

MONTHLY SERVICE CHARGE Balance Forward Accounts: A Service Charge of 2% per month (26.8% per annum) will be added each month on the unpaid balance of the previous month's statement, using a daily interest rate times the number of days since the last statement or by using a monthly interest rate of 2%. To avoid Service charges, please pay prior month's full balance before next statement date.