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Customer Purchase Order Application Form

Please use the form below to apply to use a Corporate Purchase Account. Once the form is completed, it will be submitted for approval and references will be checked. This process takes 5 business days. Once approved, you will be able to purchase from the website using the Corporate Purchase Order process.

Fields in bold are required.
1. Company Information
Legal Company Name :: As on legal registration and/or incorporation papers
Present legal form :: If company entity is not listed, select Other
Invoice Address :: Where invoices will be sent


Ship to Address :: If invoice address if different than ship to address, please specify
Nature of business :: What does your company do?
Business Registration Number :: Chamber of Commerce and/or Incorporation Number
Tax Identification Number :: EIN, VAT, GST, MwST or other tax identification number
Annual yearly sales :: If no exact figure is available, an approximation is also ok.
Estimated yearly purchases :: How much woudl you estimate buying from CAPLINQ Corporation on a yearly basis?
Currency Reference :: CAD, EUR, USD, JPY, RMB, etc.
2. Primary Shareholder Information
Primary Shareholder Information
Shareholdings :: Approximate % of shareholdings
3. Company Contacts
Please list at least a management contact as well as a financial contact.
 
4. Bank References
Please list at least one bank reference.
Name of Bank
5. Trade References
Please specify at least one trade reference
Name of Company  
6. Requested Credit Limit and Payment Terms
Please specify what you are asking for in terms of credit amount and payment terms
Shipping Terms Requested :: ie. FOB Canada, FOB Netherlands, CIF, DDU
7. Certification and Authorization



Completed by: :: Please fill in your complete name
 
 
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