Commercial Credit Application Business InformationLegal Business Name *Business / Billing Address *CityProvincePostal CodeDelivery Address (If Applicable)CityProvincePostal CodeTelephone Number *Fax NumberGST NumberPST Number (Only Required If PST Exempt)Principal(s) of the CompanyPrincipal(s) of the CompanyType Of BusinessAmount of Credit RequestedCorporationPartnershipProprietorshipOther (Please Specify)Number Of Years In BusinessEstimated Annual SalesAccounts Payable ContactTelephone NumberEmail AddressFinancial InformationBranch NameBranch Telephone NumberBranch Fax NumberBranch AddressCityProvinceAccount NumberYears At This BankType Of Service RequestedCarlockHow Many Cards RequiredFuel DeliveryMarked Fuel RequredOil & LubricantsTrade Credit ReferencesName of FirmTelephone NumberFax NumberContact NameContact EmailName of FirmTelephone NumberFax NumberContact NameContact EmailDisclaimersThe Applicant authorizes Star West Petroleum Ltd., to obtain personal credit reports and other credit information (the "information") and the Applicant acknowledges that this authorization is granted in connection with the application for credit. The Applicant consents to the collection, use and disclosure of the information by Star West Petroleum Ltd., to assess the Applicant's financial status, creditworthiness and ability to guarantee the obligations of the Applicant to Star West Petroleum Ltd. now, and in the future. PAYMENT TERMS: The applicant agrees to pay, in full all charges within the terms specified by Star West Petroleum Ltd upon acceptance of this application. INTEREST: The applicant agrees to pay interest on all overdue amounts at a rate of 24% annum, compounded monthly.I/we the above hereby acknowledge that upon signing this document, the information that has been provided is certified to be true and complete and that it will be used by Star West Petroleum Ltd. to ascertain my/our and the company's credit worthiness.Print Name *Signature *Your browser does not support e-Signature field.Date *GuaranteeIn consideration of Star West Petroleum Ltd. selling goods and services from time to time to the Applicant , the guarantor(s) hereby jointly and severally, personally guarantee to Star West Petroleum Ltd. payment of all indebtness incurred by the Applicant to Star West Petroleum Ltd. including interest on overdue accounts, after the date of this guarantee. This guarantee will not be relieved by modification of terms of composition or arrangement between the Applicant and Star West Petroleum Ltd. whether made notice to the guarantor(s) or not, and the undersigned guarantor(s) acknowledge that I/we have read and fully understand this agreement of payment and that I/we will be jointly and severally liable for any and all indebtedness incurred by the Applicant.Print Name *Signature of Guarantor *Your browser does not support e-Signature field.Date *Send Message
