Usinage Laquerre & Fils

Open account

Fill the following form, print it and send if by fax at 819-797-3787. You can also contact us.


Company information

Company name :
  In business since :
Industry type :
  Annual purchase :
Structure légale :
Corporation     Society N/C     Owner     Division    
  No. Exemption for Provincial taxes :
Invoicing address :

  City :
Province/State :
  Postal Code :
Phone :
  Fax :
Email :
  Purchase order number required :
Yes  No


Shipping address :


Address :
  Postal Code :
Phone :
  Fax :


Name of principal shareholders


Lastname :
  Firstname :
Title :
  Phone :
Lastname :
  Firstname :
Title :
  Phone :
Lastname :
  Firstname :
Title :
  Phone :


Banking references


Bank name :
  Name of contact person :
Branch :
  Address :

No. checking account :
  No. transit :
Phone :
  Fax :


Commercial credit reference


Company name :
  Name of contact person :
Address :

 
TPhone :
  Fax :
Termes et Conditions


THE SIGNATORY(IES) HAVE READ AND ACCEPTS THE TERM AND CONDITIONS OF:

 

THE SIGNATORY(IES) HAVE READ AND ACCEPTS THE TERM AND CONDITIONS OF

1- The applicant (s)of credit allows Atelier d'Usinage Laquerre & Fils,or its agents to request and receive any report or information

    credit on the applicant(s) from a credit office or agency, bank or commercial reference mentioned above

 

    and any other person who has financial activities with the applicant (s)

 

2- The applicant (s) of credit agrees to comply with all terms and conditions or apparaissants made on onvoice`s

 

    Atelier d'Usinage Laquerre & Fils, all terms of sales or credit included

 

 

3- The applicant (s) agrees that the credit terms of sales included the obligation to pay service charges on any unpaid amounts

     by the customer when due (at the current rate of 2% per month).

 

4 - The client acknowledges and agrees that the title and ownership of goods sold or to be sold Atelier d'Usinage Laquerre

 

     & Fils remain exclusive of Atelier d'Usinage Laquerre & Fils. Under the retention of title to complete payment of all

 

     amounts due or to be paid for the goods.

 

 

 

 

Title :
  Name in block letters :
Province :
  SIGNATURE ( owner or manager autorised):   Date :

NOTICE TO APPLICANT :****  THIS IS A PERSONAL CREDIT GUARANTEE

In consideration of granting a line of credit by  Atelier d'Usinage Laquerre & Fils at the customer,  I (we) applicant (s) safeguards personally and jointly the payment of any amount due or to be due to  Atelier d'Usinage Laquerre & Fils by the customer. I agree (we agree).

SIGNING OF SHAREHOLDERS OR AUTHORIZED BY THE OWNER:
  Name in block letters :

Date :