6595 Kitimat Road
Mississauga, ON L5N 4J4
Canada

CREDIT APPLICATION AND AGREEMENT

$

State      ZIP

Phone Fax

Do You Require a PO? Physical Location:

Type of Business:      

( Please attach copy of the certificate, if available)

OWNERS OR OFFICERS







BANKING INFORMATION

TRADE REFERENCES

TERMS AND CONDITIONS OF SALE

(1) It is understood and agreed that if this application for credit is approved it will constitute an agreement to pay for all purchases from Husky Tire Corp. in accordance with the company’s standard terms of sale – NET 30 Days with a service charge of 2% per month (24% per year) on overdue accounts. (2) Ownership of the goods will remain with Husky Tire Corp. until full amount has been paid.


Applicant understands and acknowledges, by their signature, the authorization of periodic credit information enquiries and exchange of trade information by Husky Tire Corp.


Electronic submission of this application is your acceptance of our terms and conditions and is as legally binding as a physical signature.

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