425 Railside Drive Brampton, ON L7A ON8

T: 905-791-8600 | F: 905-791-6143 | Toll: 1-800-268-0184

CREDIT APPLICATION & AGREEMENT

GENERAL INFORMATION
DATE / TELEPHONE / FAX
NAME / TITLE
COMPANY / SPECIALTY
ADDRESS
CITY / PROVINCE / POSTAL CODE
[ PLEASE CHECK ONE ] PROPRIETOR CORPORATION PARTNERSHIP
YEARS IN BUSINESS / NUMBER OF EMPLOYEES
CREDIT REFERENCES (Major Suppliers)
FIRST REFERENCE / SECOND REFERENCE
NAME / NAME
ADDRESS / ADDRESS
TELEPHONE / TELEPHONE
FAX / FAX
CONTACT / CONTACT
FINANCIAL INFORMATION - BANKERS
FIRST BANKER / SECOND BANKER
NAME OF INSTITUTION / NAME OF INSTITUTION
ADDRESS / ADDRESS
TELEPHONE / TELEPHONE
FAX / FAX
CONTACT / CONTACT
BANK ACCOUNT NUMBER / BANK ACCOUNT NUMBER
[Agenda Topic]
CERTIFICATION OF SALES TAX EXEMPTION
The undersigned hereby certifies that all purchases from The Stevens Company Limited made under the following taxation numbers will be exempt from any sales and/or local sales and use taxes. Tangible personal property obtained under this certification may be subject to the use tax if it is used or consumed by the purchaser and purchaser assumes full liability for payment of any such taxes on a direct basis.
This certification will be considered a part of each order unless such shall otherwise specify and shall remain in effect until revoked in writing.
PROVINCIAL SALES TAX REGISTRATION # / GOODS & SERVICES REGISTRATION #
ECOMMUNICATIONS CONSENT
As a member of the Stevens community, we value you as our customer and pride ourselves in keeping you informed about changes and updates in products and services with us. With the recent Canadian Anti-Spam Legislation changes, we are committed to remaining compliant to government standards. In order to do so, as well as ensure you receive ongoing Stevens Company communications and offers, we require your consent.
By checking the box below, you agree to receive electronic updates from the Stevens Company Ltd. You can make changes to your preferences at any time by e-mailing us at or phoning us at 1-800-268-0184.
□ Yes, I consent to receiving electronic communications from the Stevens Company Ltd.
CONTACT NAME / PHONE / EMAIL
SIGNATURE / DATE
FOR INTERNAL USE ONLY
SALES REP / ACCOUNT #
CLASS OF TRADE / SUB CLASS OF TRADE
TERRITORY
FOR INTERNAL USE ONLY - CONTRACT ASSIGNMENT
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TERMS AND CONDITIONS

1)  This is an application for credit being submitted to The Stevens Company Limited and shall apply to any and all credit extended to Applicant by The Stevens Company Limited sometimes herein referred to as “Company”.

2)  Applicant has authority to enter into this Agreement and any person signing it on Applicant’s behalf has been duly authorized to execute the Agreement for Applicant.

3)  Any and all information now or hereafter supplied to Company by Applicant or at Applicant’s request or instruction is correct and will remain confidential.

4)  Applicant agrees that it shall pay all of the invoice prices according to the terms and failure to pay shall entitle Company to add 1.5% service charge per month or 18% service charge per annum on the unpaid delinquent balance.

5)  Applicant will, upon demand, establish the correctness of any information supplied to the Company and will promptly notify Company of any adverse changes in any information supplied and of any change in Applicant’s residence, chief place of business, or mailing address and any change of address to which notices should be sent.

6)  Applicant will execute any additional agreements, assignments or documents that may be deemed necessary or advisable by Company to effectuate the purpose(s) of this agreement.

7)  Applicant understands and agrees that in the event any warranty or representation is false or is believed in good faith by Company to be false, any covenant or agreement is violated; or Company in good faith deems itself insecure (because the prospect of payment is impaired or the prospect of performance of any covenant or agreement is impaired) Company in addition to any remedies provided by law or this agreement and to the extent provided by law may declare that a default has occurred.

8)  Should Applicant default in the payment of its outstanding account or should a default be declared pursuant to any of the provisions of Paragraph 7, then Company shall be entitled to incur expenses or the costs of collection which amount shall be added to the unpaid balance of Applicant’s account and shall be due and owing from Applicant to Company.

9)  NO WARRANTIES, EXPRESS OR IMPLIED, OF ANY KIND WHATSOEVER, EXCEPT THOSE EXPRESSLY SUPPLIED BY THE STEVENS COMPANY LIMITED SHALL APPLY.

10)  Time is of the essence of this agreement.

11)  Company’s acceptance of partial or delinquent payments or failure of Company to exercise any right or remedy shall not be a waiver to any obligation of Applicant or right of Company nor constitute a modification of this Agreement nor constitute a waiver of any other similar default subsequently occurring.

12)  The provisions of this Agreement are hereby made applicable to and shall inure to the benefit of Company’s successors and assigns and binds Applicants heirs, legatees, devisees, administrators, executors, successors, and assigns.

13)  When more than one Applicant signs the Agreement all agree that whenever the word Applicant appears in the agreement, it shall be read as each Applicant that any breach of any covenant or warranty by any Applicant may at Company’s option be treated as a breach by all Applicants; that the liability of each Applicant is joint and several and the discharge of any Applicant for any reason other than full payment or any extension forbearance change of rate of interest or acceptance release or substitution of security or any impairment or suspension of Company’s remedies or rights against one Applicant shall not affect the liability of any other Applicant. All Applicants waive the right to require Company to proceed against one Applicant before any other or to pursue any other remedy in Company’s power.

14)  Returned merchandise will not be accepted except with the prior permission in writing of the Company. All transportation charges must be borne by the Applicant. New unused goods of current design accepted by the Company for credit are subject to a restocking charge of at least 15% of the invoice value of the goods. Further deductions will be made if the goods returned are in a depreciated condition or if recrating is necessary, or if Company is subject to additional charges by its suppliers.

15)  Title and ownership of the products, goods or equipment which may be sold to the Applicant shall remain with the company and shall not pass to the applicant until all amounts owing by the Applicant have been paid in full. Applicant grants to The Stevens Company Limited a security interest in all other personal property owned by it. Notwithstanding any provision herein the Applicant is responsible for any damage to the products through delivery or transit.

16)  Use of the impersonal pronouns “it” or “its” shall be deemed to include the masculine or feminine personal pronoun “him” or “her” when that is appropriate to the parties hereto or the context so indicates.

TERMS AND CONDITIONS CONTINUED

17)  The undersigned hereby authorizes the Company to secure Credit and other pertinent information as the Company deems fit and that said enquiries may be made at any time in connection with Credit hereby applied for. The Applicant also consents to the interchange of such information with any credit person or credit agency.

18)  This agreement shall be governed and construed in accordance with the laws of the Province of Ontario. In the event that any of the provisions of this Agreement shall be held by a court of competent jurisdiction to be unenforceable the remaining provisions of the Agreement shall remain in full force and effect. In the event of the invalidity of any clause herein, that clause shall be deemed severed and the balance of this agreement shall remain enforceable.

19)  It is the express wish of the parties that this Agreement and any related documents be drawn up and executed in English.

20)  It is understood that signing of this Agreement by the Applicant is acknowledgement of the acceptance of all terms and conditions and that all information given is true and complete.

NAME [PRINT] DATE

SIGNATURE

(Corporate Seal)

ALL INFORMATION TO BE KEPT IN THE STRICTEST OF CONFIDENCE AND IS NOT TO BE USED FOR ANY OTHER PURPOSE OTHER THAN CREDIT EVALUATION

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