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	DOMINION MESSENGER Box 1544 Edmonton, Alberta Canada  T5J 2P3 DOMINION MESSENGER CREDIT APPLICATION Registered Name:  Business Address:  City:  Province:  Postal Code:  Phone:  Fax:  Email:  How long at this address:  BUSINESS HISTORY Years in Business:  Office Manager:  Nature of Business:  Accounts Payable:  Mty Credit Req'd:  Receptionist:  Business Hours - Open Between 12:00 - 1:00pm:   YES     NO Bank:  Address:  Account #:  TRADE REFERENCES With whom the applicant has a current unsecured credit account (Give names, addresses and phone numbers) 1.  2.  3.  How did you hear of us?  We understand that terms are net 7 days from statement date and any discrepancies must be reported within 30 days. It is agreed and understood that accounts 30 days or more past due are subject to an interest charge of 2% monthly (26.88% annualized), and will be debited directly to the applicant's account and become an actual part of the total indebtedness, along with any and all costs (including legal fee's) incurred in collecting such overdue accounts. Failure on the part of the applicant to comply with payment terms will be considered sufficient cause to cancel credit account without notice.  I AGREE   Title:  Date:
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