New Customer Information Form - Elite International Foods Inc.

3823 – 29 Street NE Calgary AB T1Y 6B5
Tel: 403-291-0660 or 866-999-0660
Fax: 403-291-0661 or 866-999-0661
Customer Information Form
PLEASE PRINT CLEARLY AND COMPLETE ALL RELEVANT AREAS. ANY MISSING INFORMATION MAY CAUSE A DELAY IN YOUR ORDER.
Company Legal Name: ___________________________________________Company Trade Name: _________________________________________
Billing Address
Address: ___________________________________________ City: ________________ Province/State: _________ Postal/Zip Code: ____________
Shipping Address
Address: ___________________________________________ City: ________________ Province/State: _________ Postal/Zip Code: ____________
Telephone #: (______) _______-__________ Fax #: (______) _______-__________
E-Mail: ______________________________________________________ Web Site: ____________________________________________________
Office Hours: __________________ Delivery Days: _____________________________________ Delivery Hours: _____________________________
Sole Proprietor: ____ Corporation: ____ Partnership: ____ Government Institution: ____ Date Business Started:(MM/DD/YYYY) _________________
Annual Sales:$_____________ Sales Contact: _______________________________ Accounts Payable Contact: ________________________________
Estimated monthly purchases from Elite Foods: $______________
Elite Salesperson Name: _________________________________
Principal Officers, Partners, or Stockholders
1 st Principles Full Name: _________________________________________ Home Telephone:(____)____-_______ Drivers License #: _____________
Address: ___________________________________________ City: ________________ Province/State: _________ Postal/Zip Code: ____________
2 nd Principles Full Name: _________________________________________ Home Telephone:(____)____-_______ Drivers License #: _____________
Address: ___________________________________________ City: ________________ Province/State: _________ Postal/Zip Code: ____________
Have any of the Principles ever declared bankruptcy or ever been involved in an insolvency, personal or corporate? Yes ____ No ____
Bank Reference (only complete this section if requesting an account with term, do not complete it if paying by credit card)
Bank: ______________________________Contact: ___________________________ Telephone #: (____) ____-_______ Fax #: (____) ____-______
Address: ___________________________________________ City: ________________ Province/State: _________ Postal/Zip Code: ____________
Account Type: Chequing ____ Savings ____ Other ____ Account #: _______________________________
Trade References (only if applying for a credit account)
1 st Name: _____________________________________________ Telephone #: (______) _______-__________ Fax #: (______) _________________
Address: ______________________________________________ City: ________________ Province/State: ______ Postal/Zip Code: ____________
2 nd Name: _____________________________________________ Telephone #: (______) _______-__________ Fax #: (______) _________________
Address: ______________________________________________ City: ________________ Province/State: ______ Postal/Zip Code: ____________
3 rd Name: _____________________________________________ Telephone #: (______) _______-__________ Fax #: (______) _________________
Address: ______________________________________________ City: ________________ Province/State: ______ Postal/Zip Code: ____________
Elite International Foods Inc. is hereby authorized to contact the above references and to conduct such credit investigations as it deems necessary. The
undersigned does hereby certify that all statements made in this application are correct. The undersigned also agrees that any overdue amounts are subject to
a 2% per month service charge applied to the outstanding account balance.
Name ( Printed ): __________________________________________________________________________
Signature: ________________________________________ Title: __________________________________ Date: _________________
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Customer Account Terms
1. Credit Account:
Credit account requires a fully completed Customer Information Form.
In order to qualify for a credit account, customers will be required to spend $500.00 or more per month. If the sales volumes cannot
meet this requirement, the account will be on a prepaid basis.
Until the credit account is approved, the account will be opened on PREPAID terms. The order must be paid for before being
shipped.
Large accounts or accounts with special circumstances may be required to complete additional security agreements.
All new accounts start off with probationary terms which requires the payment of the prior order within 15 days or before the next
order is delivered.
With approved credit, payment terms are: Net 15 - the balance is due in 15 days from the invoice date.
A Finance Charge of 2% per month will be placed onto your account for any invoices not paid within 15 days.
If a credit card is used to settle past due invoice(s), a 3.00% service charge will be added to the total.
Accounts overdue 45 days or more will be put on Credit Hold and no further deliveries will be allowed until the account is brought
back into terms including all service charges. Once the account is reopened it may be placed on PREPAID terms.
2. Payment Forms Accepted:
Cash, Money Order, Cheque, Visa or MasterCard
All dishonored payments, NSF cheques or declined credit cards a $ 50.00 administration fee will be charged for each occurrence.
3. Returns, Damaged or Short:
All returns must be preauthorized.
All returned items must be in new resalable condition in the original container and count.
The product must be returned in order to receive a credit.
Damage, over or short claim must be made within 48 hours of product receipt.
A restocking charge may apply for returned items.
4. Order Delivery:
Orders for the Edmonton or Calgary delivery areas:
Minimum order for Delivery in these areas is $400.00 (before Tax or Bottle Deposits).
For any orders less than this amount, a $30.00 Delivery Fee will be added to the invoice or the Customer can arrange for pick up at
our Calgary Warehouse.
Orders outside of the Edmonton or Calgary delivery area:
Minimum order is $750.00 (before Tax).
Any order less than the amount above, the full freight cost will be charged to the customer for the shipment.
For orders over the amount above, the full freight cost will be added to the invoice and a freight allowance will be deducted from the
invoice. The freight allowance will be calculated as the lesser of either 5% of the pre tax invoice amount or the actual freight cost.
5. Special Orders:
All orders for seasonal, non-inventoried or excess quantities of products must be accompanied by a written purchase agreement.
Prepayment or a deposit may be required.
A restocking charge will apply to any returns.
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