New Account Application

Do you have another account with Russell Hendrix?*

YesNo

Please provide your account number or account name to your other Russell Hendrix Account*

Trade Name*

Hereinafter referred to as the Account

Trade Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Corporate Name*

If different from Trade Name

Corporate Address*

If different from Trade Address

Street Address Line 2

CityProvince

Postal CodeCountry

Business Phone*

Area CodePhone Number

.

Extension

Business Fax

Area CodePhone Number

Business E-mail*

Credit Limit Requested*

Accounts Payable Contact*

Accounts Payable Phone*

Area CodePhone Number

.

Extension

How would you like to receive your statements?

No statementE-mailFax

Newsletter

Yes, subscribe me to this newsletter. (you can unsubscribe at any time)

Bank*

Account Number*

Branch Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Bank Contact Name*

Bank Contact Phone*

Area CodePhone Number

.

Extension

Is the Account a Sole Proprietor?*

YesNo

Must be completed if not Limited or Incorporated In return for Credit Terms extended by Hendrix to the Account, the Account hereby grants permission to Russell Food Equipment Limited to investigate and make financial inquiries regarding credit history of the Account, its Owners, Officers, Directors and/or Principal Shareholders. Upon executing this guarantee you become liable for the payment obligations resulting from any and all debts owed to Russell Hendrix by the Account. I, the undersigned, do hereby agree to personally guarantee all amounts past due and payable to Russell Hendrix by the Applicant as well as any Finance Charges and cost of collection incurred by Russell Hendrix.

Owner’s Name

Date of Birth

MonthDayYear

Address

If different from Trade Address

Street Address Line 2

CityProvince

Postal CodeCountry

Date

MonthDayYear

The Account does hereby permit, agree and consent to the following Terms and Conditions:

1. To the payment of all Russell Hendrix Invoices and Statements within 30 days of the date of Invoice and agrees to pay Finance Charges of 2% per month (26.8% per annum) on any invoiced amounts that are not paid within 30 days of Invoice date.

2. To the payment of any costs incurred by Russell Hendrix in the collection of any amounts owed by the Account.

3. To all terms and conditions as indicated on Russell Hendrix Invoices and Statements.

4. To Russell Hendrix registering a PPSA (Personal Property Security Act) registration on products sold to the Account which may allow Russell Hendrix the right to retain ownership of such product should the Account not make payment within terms specified on the Invoice, Contract or other such Agreement.

5. That all products sold by Russell Hendrix to the Account are sold on the condition that full payment is to be received by Russell Hendrix within the terms indicated on the Invoice (or within 30 days of Invoice date when not indicated on Invoice) and that such products will remain the property of Russell Hendrix until such time as full payment is received.

6. That no orders may be returned to Russell Hendrix without expressed written consent and may be subject to a re-stocking charge.

7. That payments on Account will first be applied to any Financing Charges owing and then to invoices outstanding.

8. That these terms and conditions shall become part of any Agreement or Contract between the Account and Russell Hendrix and will be binding upon their respective successors and assigns.

9. A fee of $75.00 will be charged to any cheques returned by the debtor’s bank. Russell Hendrix is a member of profile credit and all NSF cheques will be reported.

Signature xx

Authorized Signature

Signature*

Date*

MonthDayYear

Applicant’s Name*

Applicant’s Title*

Email

example@example.com

Business Information

Your Account

Banking Info

Personal Guarantee

Terms & Conditions