Elco Systems Canada - Access to More

Credit Application

The criteria for evaluating Credit Applications and approving credit terms are:

1. Customer has been in active business for more than 2 years.
2. Customer has an active trading history with Elco for at least 6 months.
3. Customer has good bank and credit bureau references, no history of NSF cheques and at least 2 trade references from the computer industry.

You can choose to use Online Credit Application Form, print the Form directly or download the Form in PDF format.

*Indicates a required field

Please specify which office you would like to send this form to*:

Company Information
Customer Number*:	Registered Business Name*:
Doing Business As*:	Address*:
City*:	Province*:
Postal Code*:	Phone*:	Ext:
Fax (Day)*:	Fax (Night):
Email Address*:

If affiliate/subsidiary, indicate Parent Company
Registered Business Name:	Doing Business As:
Address:	City:
Province:	Postal Code:
Contact Name:	Phone:	Ext:
Fax:	Email Address:

Principals (Partners/Owners)
Name 1*:		Name 2:
Title*:		Title:
Address*:		Address:
City*:		City:
Province*:		Province:
Postal Code*:		Postal Code:
Owned Rented		Owned Rented
Phone*:		Phone:
Fax*:		Fax:
S.I.N.*:		S.I.N.:
Driver Licence*:		Driver Licence:

Trade Referrence
Company Name 1*:		Company Name 2*:
Contact Name*:		Contact Name*:
Phone*:		Phone*:
Fax*:		Fax*:
Credit Limit*:		Credit Limit*:
Payment Terms*:		Payment Terms*:

Bank Referrence
Name of Bank*:		Branch*:
Account No.*:		Address*:
City*:		Province*:
Postal Code*		Contact Name*:
Phone*:		Fax*:

I/We consent to the obtaining of bank/credit and/or personal information as may be required at any time in connection with the credit hereby applied for or renewal or extension thereof and to the disclosure of the credit information concerning me/us and/or my/our company to any credit reporting agency or to any person with the undersigned who has or purports to have financial relations. I/We further agree to indemnify Elco from all claims, which may arise because Elco disclosed information about myself/us and/or my/our company. I/We acknowledge having been informed of the Terms and Conditions of Sales as well as the prevailing terms for repayment and agree to pay a service charge, currently 2% per month compounded monthly, on any overdue balance until paid. In the event that any action or suit is instituted to collect amount due on our accounts, I/We agree to pay all legal and collection fees in addition to the amount owed plus the interest charges. I/We further acknowledge that "Title of Goods" remains with the credit grantor even though goods may be in transit and/or on customer's premises (in case of resale), until payment has been received in full. I/We are obliged to inform the credit grantor in writing of any changes in the legal name and form of the company. Failure to do so will permit the credit grantor to continue to deal with the undersigned in the form as noted on this credit application. I/We have read and agreed to abide by Elco's current Terms & Conditions of Sales. I/We hereby certify that the information contained in this application is true and correct.

I/We undersigned personally guarantee to ELCO full and complete payment of any and all debts that may arise or become due to ELCO by myself/us/customer/applicant. I authorize ELCO to charge my VISA / MASTER CARD for any outstanding debts or for purchases that I/We/customer/applicant may make.

Please completely fill in the application to allow us to better serve and support you!

Allow at least 4 weeks to process the Credit Application.