Customer Credit Application

Your contact at C&C Packing

Registered Name

Trade Name

Business Address

City

Province / State

Postal Code / ZIP

Country

Accounts Payable Contact

Telephone

Fax

Shipping Address (if different than above)

If applicant is a subsidiary, please provide name of Parent Company

Principals

1. Name

Address

City

Tel

2. Name

Address

City

Tel

3. Name

Address

City

Tel

CREDIT INFORMATION

Are your accounts receivable insured?

YesNo

If so, with which Insurance Company?

Are Financial Statements Available?

YesNo

Estimated weekly purchases (in $)

Bank Name

Branch

Phone Number

Fax Number

Manager / Contact

Number of years

TRADE REFERENCES (MEAT / FOOD SUPPLIERS PREFERRED)

Principals

Name

Contact

Address

City

Phone Number

Fax Number

Name

Contact

Address

City

Phone Number

Fax Number

Name

Contact

Address

City

Phone Number

Fax Number

Name

Contact

Address

City

Phone Number

Fax Number

TERMS & CONDITIONS

Any discrepancies must be reported within 48 hours of reception of product.
Credits will not be accepted without a confirmation from our salesman.
All products remain the property of C & C Packing until full payment for product has been received.

TERMS: NET 7 DAYS

I, the undersigned, accept all terms and conditions as described above. I authorize our Banking Institution and all references above to release information to C & C Packing for purpose of opening an account.

New Customers – Save time in the order process

General Contact Infomation

Type of Business (check the appropriate)

Do you use public storages?

Do you export product?

Are your orders picked up or delivered?

How many locations do you have ?

What are your annual sales (millions)?

How many employees?

Are you a Federal CFIA inspection plant?

Are you HACCP accredited ?

Equipment

Premises

Legal form of Business

No. of years in Business

If applicant is a subsidiary, please provide name of Parent Company

Principals

CREDIT INFORMATION

Are your accounts receivable insured?

If so, with which Insurance Company?

Are Financial Statements Available?

Estimated weekly purchases (in $)

Bank Name

Branch

Phone Number

Fax Number

Manager / Contact

Number of years

TRADE REFERENCES (MEAT / FOOD SUPPLIERS PREFERRED)

Principals

Name

Contact

Address

City

Phone Number

Fax Number

Name

Contact

Address

City

Phone Number

Fax Number

Name

Contact

Address

City

Phone Number

Fax Number

Name

Contact

Address

City

Phone Number

Fax Number

TERMS & CONDITIONS

TERMS: NET 7 DAYS

Print Name

Position

Authorized Signature

Date