Step 1 of 2 50% Thank you for your interest in becoming a Tree of Life Customer! Legal NameTrade/Operating NameContact Full NameTelephoneEmail Accounting Email (if different than above contact)Store NumberMailing Street AddressUnit #City/TownProvince/StatePostal Code/Zip CodeCountryTelephoneFaxShipping Address (if different than above):Shipping Street AddressUnit #City/TownProvince/ StatePostal Code / Zip CodeCountry:Date Business Opened Date Format: MM slash DD slash YYYY Type of BusinessGST#PST#Exemption Certificate(Please enclose exemption certificate of above)Proprietorship Proprietorship Partnership Partnership gf_right_third Limited Company How did you hear about Tree of Life? COMPANY INFORMATIONAre you a Foodservice Account i.e. Hotel or Restaurant?YesNoIf Yes do you have a retail outlet?YesNoOnline business - please provide your website address Are you a pharmaceutical account?YesNoAre you a gift basket account?YesNoAre you a Wholesaler?YesNoDo you have multiple locations?YesNoDo you have a warehouse location?YesNoAre you a liquor retail account?YesNoDo you operate out of your home?YesNoWhat is your store size - square footage?Are you interested in one or all of these departments? Grocery Frozen What type of products are you looking for?DELIVERY INFORMATIONWhat's your delivery type?WarehouseDirect to StoreDo you require a delivery appointment?YesNoDelivery Contact Information:NameTelephoneEmailEmail Address for potential returns (if different than above contact):Receiving HoursReceiving Dock or Tailgate Required?DockTailgateCHEP Pallets Required? (If yes, provide account #:)YesNoAccount #Shipping Pallet RequirementsAdditional Delivery Requirements / InstructionsMinimum Order Requirement for delivery: For minimum order quantities, please contact your Store Representative. A separate order must be placed for all frozen brands. CREDIT INFORMATIONOwners/Partners/Principal Information (attach a separate list if necessary)NameTitleMailing Street AddressCity/TownProvince/StatePostal Code/Zip CodeCountryTelephoneFaxS.I.N #EmailMortgagee/Landlord NameMortagagee/Landlord NameMailing Street Address:City / Town:Province/State:Postal Code/Zip Code:County:TelephoneFaxEmailName of BankName of BankBranch #Mailing Street Address:City / Town:Province/State:Postal Code/Zip Code:County:TelephoneHave you ever been involved in a Receivership or Bankruptcy?Bankruptcy?YesNoIf yes when?Is a Current Financial Statement Available?Financial Statement?YesNoAnnual Sales $Credit Amount Requested $If you are part of a buying group or association please supply the followingNameEmailTelephoneMember#Credit References (Suppliers who are granting credit terms)Credit referencesNameEmailTelephone Credit referencesNameEmailTelephone Credit referencesNameEmailTelephone Reason for ApplicationReason for application New Business New Customer New Ownership Name Change OtherI/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.Authorized Customer SignatureApplication Date (M/D/Y) MM DD YYYY 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)EmailThis field is for validation purposes and should be left unchanged. Δ
