Open an account

Fill out the form below, print it and send it by fax to 819 762-2325 or by mail to open an account with Dynamik Equipment.
You can also contact us
Company Name :
   In business since :
Type of industry :
   Estimated Annual Purchases :
Legal Structure :
Corporation Company N/C Owner Division		   Exemption Number of Provincial Tax :
Billing Address :
   City :
Province :
   Postal code :
Phone :
   Fax :
Email :
   Purchase Order Number Required :
Yes No
Shipping Address (if different) :
   Postal code :
Phone :
   Fax :

NAMES OF MAJOR SHAREHOLDERS
Last Name :
   First Name :
Names of major shareholders :
   Phone :

Last Name :
   First Name :
Names of major shareholders :
   Phone :

Last Name :
   First Name :
Names of major shareholders :
   Phone :

BANK REFERENCES
Bank name :
   Name of Contact Person :
Branch :
   Address :
Checking Account Number  :
   Transit Number :
Phone :
   Fax :

REFERENCES TO COMMERCIAL CREDIT
Company Name :
   Name of Contact Person :
Address :
    
Phone :
   Fax :
Terms and conditions
THE SIGNATORY (S) HAS (HAVE) READ AND ACCEPTED (NT) THE FOLLOWING TERM AND CONDITIONS:
  1. The applicant (s) (s) of credit allows Equipment Dynamik, or its agents to request and receive any report or information on credit (s) Applicant (s) from a credit bureau or agency , banks or commercial reference above mentioned high and any other person having financial activities with the applicant (s) (s). 

  2. The applicant (s) (s) of credit accept (s) to comply with all terms and conditions appearing on or made on invoices Equipment Dynamik, including all terms of sales or credit. 

  3. The applicant (s) (s) accepts credit (s) that the terms of the sales included obligationto pay the service charge on any amount unpaid by the client when due (at the current rate of 2% per month). 

  4. Customer acknowledges and agrees that title and ownership of goods sold or to be sold by Equipment Dynamik remain the exclusive Equipement Dynamik. En vertu de la réserve de propriété jusqu'à paiement complet de toutes sommes dues ou à être dues pour les dites marchandises. Under the reservation of ownership until full payment of all sums due or payable in respect of the said goods.
Title :
   Print Name :
Province :
   Date :
Signature (owner or manager authorized) :
    


In considérationde granting a line of credit Equipment Dynamik customer, I (we) the applicant (s) (s) personally and jointly guaranteed (are) the payment of any sum due or to be caused by Dynamik Equipment the client. I agree (we accept).
Signature of Owner or (to) shareholder(s) authorized(s) :
   Print Name :
Date :