APD Credit Application

APD Credit Application

Have you been in contact with a APD sales representitive *
Legal Name of Business*
Contact Name*
Address:*
Phone Number*
Fax Number
Email Address*
Type of Business: Corporation *
PST Number
GST Number*
Operating Trade Name*
In Business Since*
Number of Employees:*
Number Of Service Bays:*
Company Web Site
Anticipated Annual Volume:*
Address:
Principal 1 Name*
Address:*
Phone Number*
Principal 2 Name
Address:
Phone Number
Business Location (owned or Leased)*
(if leased) Landlord or Management Company
Phone Number:
Name of Bank:*
Address:*
Phone Number*
Has any principal(s) in the company claimed bankruptcy within the last 5 years? *
If yes, please give particulars
TRADE REFERENCE 1: *
Phone Number*
Fax Number*
TRADE REFERENCE: 2*
Phone Number*
Fax Number*
TRADE REFERENCE: 3*
Phone Number*
Fax Number*
TERMS and CONDITIONS of PAYMENT: Net 30 Days By clicking SUBMIT I/we hereby request credit accommodations from Automotive Parts Distributors (APD) and agree to pay for me/our purchases in accordance with the terms stated above. I/we further agree to pay a service charge on any amounts more than 30 days past due calculated at a rate of 24% per annum (2% per month). All parts and/or equipment remains the property of Automotive Parts Distributors (APD) until paid in full. I/we also hereby agree to pay APD all fees & expenses, including but not limited to all legal fees on a solicitor/client basis, incurred by APD in connection with the collection of all accounts due to APD by myself/ourselves. Automotive Parts Distributors has my/our consent to obtain credit reports about me/us from credit reporting agencies and other sources.
Thank you for your consideration, we will be in touch with you shortly.