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  • Shipping Address (if different than above):

  • (Please enclose exemption certificate of above)
  • Owners/Partners/Principal Information (attach a separate list if necessary)

  • Have you ever been involved in a Receivership or Bankruptcy?

  • Is a Current Financial Statement Available?

  • If you are part of a buying group or association please supply the following

  • Credit references (suppliers who are granting credit terms): (Name, Telephone and Fax)

  • NamePhoneFax 
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  • Reason for Application

  • I/we hereby authorize Tree of Life Canada ULC. to proceed with, now and when required; whatever credit investigations (consumer and commercial) considered necessary to establish and maintain a credit account. I/we also agree, if a credit account is granted, to pay all invoices within terms of sales; to pay interest charges of 2% per month on any overdue balances; and that credit privileges may be revoked at Tree of Life Canada ULC's discretion.
  • Please Note: All orders will be shipped on a C.O.D. basis until credit terms can be established. (note: this may take several orders)