Become a Customer // L.J. Peters

New Customer Applications

We would love to have you join L.J. Peters and let us serve you. Please fill out the credit application below. For any other inquiries or more information, please contact us.

Company Name

First Name

Last Name

Mailing Address

Address 1

Address 2

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State/Province

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Fax Number

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Business Email Address

Financial Institution

Accounts Payable Contact

First Name

Last Name

Purchasing Agent

First Name

Last Name

Jobber

Amount of Credit Required

GST #

Length of Time in Business

Owner's Name

First Name

Last Name

References

Name

First Name

Last Name

Address

Address 1

Address 2

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State/Province

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Fax Number

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Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone Number

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Fax Number

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Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone Number

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Fax Number

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I have read and agree to the terms and conditions shown below and agree that L.J. Peters Warehouses Ltd. may make investigations on my credit standing and may set a maximum credit limit for my account.

Yes

No

Terms and Conditions

Our terms are 2/10 Net 30 days. Please note: To qualify for the cash discount, cheques must be in our office on or before the 10th of the month. In order to keep your account current, we must receive payment by month end in our office. Accounts that are not current, product will not be shipped. Interest at 1% per month will be charged on past due accounts.