Please fill out the following application form as completely as possible. Alternatively, you can also download the form here, print it out and fax it to (403) 320-0974. All fields marked with a * are required.

REGISTERED OR INCORPORATED / LIMITED COMPANIES
Registered Company Name (exact)
City and Province
Address
 
Mail / Billing Address
Postal Code
         
Name of Principals
Position
 
ALL OTHER ACCOUNTS
Your Name
S.I.N.
Birth Date (MM-DD-YYYY)
City and Province
Mail / Billing Address
Postal Code
 
EMPLOYMENT INFORMATION
Employer:
 Length Employed:
Employer Phone Number:
Operating as:
 
PHONE NUMBERS
Office Phone Number:
 Home Phone Number:
Office Fax Number:
Cell Phone Number:
 
PROJECT INFORMATION
Structure:
 Estimated Total Cost :
Development Company:
Contractor:
 
FINANCIAL INFORMATION
Bank:
 Contact:
Phone Number:
 
Mortgage Held By:
Amount:
 
TRADE REFERENCES
1. Company:
 Contact Name:
 Phone Number:
2. Company:
 Contact Name:
 Phone Number:
3. Company:
 Contact Name:
 Phone Number:
4. Company:
 Contact Name:
 Phone Number:
 
    
    

  Credit Limit Requested   $ *

TERMS: ALL ACCOUNTS are due and payable on the 15th of the month following shipment unless stated otherwise on the invoice. OVERDUE ACCOUNTS are subject to interest on the unpaid balance at the rate of 24 per cent per annum. I agree to pay any and all COLLECTION COSTS and/or COSTS ON A SOLICITOR CLIENT BASIS necessary for the collection of any unpaid balance and additionally I agree to submit to BINDING ARBITRATION if it is necessary in order to settle any unresolved dispute.

NOTE: The above information is given solely for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize you to investigate applicable credit history pertaining to my/our credit and financial responsibility.

* I/we acknowledge that I/we have read and fully understand the terms and conditions of this account agreement. This application is subject to approval of Logic Lumber Ltd.’s Credit Department. I/we affirm the information is true and correct.


   

Your Name *
Your Email Address *
Application Date
Sep 4, 2010