Credit Application Form

Business Contact Information

Business Name

Contact Name *

Phone *

Fax

Cell Phone

Email *

Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Delivery Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

In Business Since *

Business Type *

Sole Trader
Partnership
Limited Availability
Other

Business and Credit Information

Bank Name *

Bank Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Business Trade References (Please provide 4 references)

Reference #1

Contact Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Fax

Email *

Reference #2

Contact Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Fax

Email *

Reference #3

Contact Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Fax

Email *

Reference #4

Contact Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Fax

Email *

Agreement

All invoices are to be paid within 30 days of the date of the invoice.
Any claims arising from invoices must be made within 7 working days of receipt of the invoice.
By submitting this application, you authorize Growers Supply Co. Ltd and/or BC Tree Fruits to investigate your credit, which includes banking and business/trades you’ve supplied.
The applicant agrees to pay, in accordance with Growers Supply Co Ltd’s. published credit terms, all charges including but not limited to, service or late payment charges. In the event that the applicant’s account is in arrears, any future purchases will be declined until the account is cleared. Balance due is payable upon receipt. For accounts past due over 30 days interest charged will be 1.5% per month.
Growers Supply only provides statements electronically. By opening an account, you authorize Growers Supply to send notifications when statements are available, which can be viewed via our secure login on the Growers Supply website.

Monthly Credit Limit Requested *

(in dollars)

Title *

Date *