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Personal Electronics.Team Style.
PureOrange:
Pure Orange Holdings Inc. develops, produces and distributes innovative consumer electronics devices, accessories and computer peripherals that enhance the consumer’s technology experience.
What We Do:
The PureOrange product development team pays extra attention to the details of design and engineering, looking for the beauty found in clean simplicity of form married to the elegant use of colour and branding. We create high quality, cost effective, attractive products that lend colour and personality to the technology experience, with a special place for the collegiate and sports fan user.
Holding sports league licenses to brand ‘personal electronics’ accessories for the National Hockey League, National Basketball Association, Major League Baseball and Hockey Canada, PureOrange is the leading licensed computer accessories company in North America. Our products allow consumers to personalize their technology environment and support the home team. Our sports themed products include products for desktop computing, MP3 players and cell phones.
In addition, we do a wide range of consumer electronic products for corporate and collegiate branding.
Sports Licensed products:
Our growing line of Sports branded products includes our very popular Aqua Mouse, Mouse Pads, Flash Drives, Earphones, Microfiber cloths, children’s Digital Mini Cameras, wireless laptop mice, DVD-R discs, SD and Micro SD Memory and Cell Phone accessories.
Collegiate Branding:
For the Collegiate customer we specialize in custom USB Flash Drives, but all of our high quality products can be branded for Collegiate use.
Flash Drives are branded with your logos, colours and lanyard. Your software or data can be preloaded and includes branded packaging with your UPC code. We offer memory capacities from 1GB to 16GB, and all our Flash Drives have a Lifetime Warranty.
Our team will work with you to produce a unique item that will promote your College, event or faculty. We produce quality products that will highlight and show off your brand.
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
pg.1 of 4
HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
Legal Business Name: _______________________________________________________________________________________
Registered Trade Name and #: ________________________________________________________________________________
Street Address: _____________________________________ Federal Tax ID #: ______________________________________
__________________________________________________ Phone: ______________________________________________
City: ____________ State.: ________ Zip: ______________ Fax: ________________________________________________
Country: __________________________________________ Web site: ____________________________________________
E-mail Address: ____________________________________
Billing Address: (if different from above) ____________________ Shipping Address: (for multiple locations attach a sheet)
__________________________________________________ ____________________________________________________
__________________________________________________ ____________________________________________________
A/P Contact: ___________________ Phone: _____________ Contact: ___________________Phone: ____________________
(Please do not list 800 numbers or cell numbers)
Business Information:
Complete for NEW CUSTOMER ACCOUNT Prepay (Credit card, wire transfer) COD (via Courier) Electronic Funds Transfer (EFT)
Net Terms: _______________ Days ______________ Credit Line Amount $ ______________________________
Business is a: (check one) Corporation Partnership Proprietorship LLC LLP
Year Started: __________ State of Inc. ____________________ D&B # __________________ Fed ID# ________________
Are you a: Subsidiary or Division
Parent Company Name: _________________________________ City/State/Zip ____________________________________
Parent Company D&B # __________________________________
Which category best describes your company? (Select one) Sports Arena Gift & Souvenir
Consumer Electronics Educational Institution or Reseller
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
Bank Name: ________________________________________ Branch: _____________________________________________
Account #: _________________________________________ Phone: _____________________________________________
Street Address: ______________________________________ Fax: _______________________________________________
___________________________________________________
City: ____________ State: __________ Zip: _____________
Bank References: (Required to set up an account)
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: ____________ State: __________ Zip: _____________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: ____________ State: __________ Zip: _____________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: ____________ State: __________ Zip: _____________
Trade References: (Please list 3 largest)
Principle Information:Owner/Partner/Offi cer Name & Title: __________________________________________________________________________
% Ownership: ______________________________________
Street Address: _____________________________________ E-mail: ______________________________________________
__________________________________________________ Phone: ______________________________________________
City: ____________ State: __________ Zip: _____________ Fax: ________________________________________________
Have you ever fi led for bankruptcy? No Yes
Personal Business Date fi led: ________________________ Status: _________________________
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
Card Number: ______________________________________ Expiration date: _____________________________________
Name On Card: _____________________________________
I am an authorized signer on the above card and hereby give permission to bill my credit card when requested.
Print Name: _________________________________________
Billing Address for Card Holder:
Signature: __________________________________________ Street: _____________________________________________
Date: ______________________________________________ City/State/Zip: ______________________________________
Credit Card Information: Check one: Visa MasterCard
Authorized Representatives Of The Customer:
Name: __________________________________________ Phone: _____________________ Fax: _____________________
Name: __________________________________________ Phone: _____________________ Fax: _____________________
Name: __________________________________________ Phone: _____________________ Fax: _____________________
Customer agree to notify Pure Orange Holdings Inc. (“Pure Orange”) of any changes in ownership of its business as set forth herein by certifi ed mail to:
Pure Orange Credit DepartmentThree Bentall Centre48203 - 595 Burrard StreetVancouver, BC, V7X 1N8CANADA
I/we hereby authorize Pure Orange or any credit bureau or other investigative agency retained by Pure Orange to investigate the references herein listed or statements or other data obtained from the Customer and/or the individual(s) making the application (collectively the “Credit Applicant”) or any other person pertaining to the Credit Applicant’s credit and fi nancial responsibility. In consideration of the extension of credit by Pure Orange to the Customer, I/we agree to promptly pay all accounts in accordance with the terms expressed on the invoice. I/we further agree that if any invoice for merchandise ordered shall remain outstanding past the due date, it shall bear interest at the rate of 2.0% per month (24% per annum) until paid. In the event that any suit or action is instituted to collect money due on the Customer’s account, whether principle or interest,or both, the Credit Applicant(s) agrees to pay, in addition to the amount owed, all legal fees and collection agency fees incurred. The undersigned individual(s) who is either a principle of the customer or a sole proprietors of the Customer, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the Customer, hereby consents to and authorizes the use of a consumer credit report on the undersigned by Pure Orange, from time to time as may be needed, in the credit evaluation process. The undersigned individual(s) hereby authorizes and consents to the collection, retention and use of his or her personal information for the purpose of this application, the extension of any credit, and the administration and collection of the Customer’s account. Where more than one person completes this form the liability of such persons shall be joint and several. This agreement shall be construed in accordance with the laws of the Province of British Columbia and the federal laws of Canada applicable therein and any controversy or claim arising out of, or relating to, this agreement, or the breach thereof, shall be resolved through litigation in the Courts of the Province
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
pg.4 of 4
HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
of British Columbia. This agreement is strictly confi dential and is not transferable or assignable without prior written consent of Pure Orange. The undersigned agrees that any changes in liability for any debts incurred to Pure Orange due to a change in Customer’s form of business shall not be effective as to Pure Orange unless Pure Orange consents to such change in writing. The undersigned hereby agrees to be bound by the terms and conditions contained herein, the standard terms and conditions of credit, sale or other supply (as may be amended, supplemented, or replaced from time to time) and the terms of sale listed on an invoice or approved purchase order of Pure Orange and all other Pure Orange documents related to the arrangements between the undersigned and Pure Orange as amended, supplemented or replaced from time to time by Pure Orange or agreed to in writing by Pure Orange.
___________________________________________________ ___________________________________________________SIGNED TITLE
___________________________________________________DATE
Signature required for application to be processed
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: _____________________ Prov.: ___ PC: ___________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: _____________________ Prov.: ___ PC: ___________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: _____________________ Prov.: ___ PC: ___________
Trade References: (Please list 3 largest)
School Name: ______________________________________________________________________________________________
School District: _____________________________________________________________________________________________
Street Address: _____________________________________ Federal BN/GST/HST #: ________________________________
__________________________________________________ Phone: ______________________________________________
City: ____________ Prov.: ______ PC: _________________ Fax: ________________________________________________
Country: __________________________________________ Web site: ____________________________________________
Buyer’s E-mail Address: ______________________________
Billing Address: (if different from above) ____________________ Shipping Address: (for multiple locations attach a sheet)
__________________________________________________ ____________________________________________________
__________________________________________________ ____________________________________________________
A/P Contact: ___________________ Phone: _____________ Contact: ___________________Phone: ____________________
Structure: Public School Charter School Private Other___________________________
Description:
(Please do not list 800 numbers or cell numbers)
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
Card Number: ______________________________________ Expiration date: _____________________________________
Name On Card: _____________________________________
I am an authorized signer on the above card and hereby give permission to bill my credit card when requested.
Print Name: _________________________________________
Billing Address for Card Holder:
Signature: __________________________________________ Street: _____________________________________________
Date: ______________________________________________ City/Prov./PC: _______________________________________
Credit Card Information: Check one: Visa MasterCard
Prepay (Credit card, wire transfer) COD (via Courier) Electronic Funds Transfer (EFT)
Net Terms: _________________ Days ________ Credit Line Amount $ _________________________________________
Bank Name: ________________________________________ Account Offi cer’s Name: ______________________________
Account #: _________________________________________ Phone: _____________________________________________
Street Address: ______________________________________ Fax: _______________________________________________
___________________________________________________
City: _____________________ Prov.: ___ PC: ___________
Bank References: (Required to set up an account)
Preferred Payment Method:
Customer agree to notify Pure Orange Holdings Inc. (“Pure Orange”) of any changes in ownership of its business as set forth herein by certifi ed mail to:
Pure Orange Credit DepartmentThree Bentall Centre48203 - 595 Burrard StreetVancouver, BC, V7X 1N8CANADA
I/we hereby authorize Pure Orange or any credit bureau or other investigative agency retained by Pure Orange to investigate the references herein listed or statements or other data obtained from the Customer and/or the individual(s) making the application (collectively the “Credit Applicant”) or any other person pertaining to the Credit Applicant’s credit and fi nancial responsibility. In consideration of the extension of credit by Pure Orange to the Customer, I/we agree to promptly pay all accounts in accordance with the terms expressed on the invoice. I/we further agree that if any invoice for merchandise ordered shall remain outstanding past the due date, it shall bear interest at the rate of 2.0% per month (24% per annum) until paid. In the event that any suit or action is instituted to collect money due on the Customer’s account, whether principle or interest,or both, the Credit Applicant(s) agrees to pay, in addition to the amount owed, all legal fees and collection agency fees incurred. The undersigned individual(s) who is either a principle of the customer or a sole proprietors of the Customer, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the Customer, hereby consents to and authorizes the use of a
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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CA
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
consumer credit report on the undersigned by Pure Orange, from time to time as may be needed, in the credit evaluation process. The undersigned individual(s) hereby authorizes and consents to the collection, retention and use of his or her personal information for the purpose of this application, the extension of any credit, and the administration and collection of the Customer’s account. Where more than one person completes this form the liability of such persons shall be joint and several. This agreement shall be construed in accordance with the laws of the Province of British Columbia and the federal laws of Canada applicable therein and any controversy or claim arising out of, or relating to, this agreement, or the breach thereof, shall be resolved through litigation in the Courts of the Province of British Columbia. This agreement is strictly confi dential and is not transferable or assignable without prior written consent of Pure Orange. The undersigned agrees that any changes in liability for any debts incurred to Pure Orange due to a change in Customer’s form of business shall not be effective as to Pure Orange unless Pure Orange consents to such change in writing. The undersigned hereby agrees to be bound by the terms and conditions contained herein, the standard terms and conditions of credit, sale or other supply (as may be amended, supplemented, or replaced from time to time) and the terms of sale listed on an invoice or approved purchase order of Pure Orange and all other Pure Orange documents related to the arrangements between the undersigned and Pure Orange as amended, supplemented or replaced from time to time by Pure Orange or agreed to in writing by Pure Orange.
___________________________________________________ ___________________________________________________SIGNED TITLE
___________________________________________________DATE
Signature required for application to be processed
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
School Name: ______________________________________________________________________________________________
School District: _____________________________________________________________________________________________
Street Address: _____________________________________ US Tax ID #: ________________________________________
__________________________________________________ Phone: ______________________________________________
City: ____________ State: ______ Zip: _________________ Fax: ________________________________________________
Country: __________________________________________ Web site: ____________________________________________
Buyer’s E-mail Address: ______________________________
Billing Address: (if different from above) ____________________ Shipping Address: (for multiple locations attach a sheet)
__________________________________________________ ____________________________________________________
__________________________________________________ ____________________________________________________
A/P Contact: ___________________ Phone: _____________ Contact: ___________________Phone: ____________________
Structure: Public School Charter School Private Other___________________________
Description:
(Please do not list 800 numbers or cell numbers)
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: ____________ State: __________ Zip: _____________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: ____________ State: __________ Zip: _____________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: ____________ State: __________ Zip: _____________
Trade References: (Please list 3 largest)
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
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CA
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
Bank Name: ________________________________________ Branch: _____________________________________________
Account #: _________________________________________ Phone: _____________________________________________
Street Address: ______________________________________ Fax: _______________________________________________
___________________________________________________
City: ____________ State: __________ Zip: _____________
Bank References: (Required to set up an account)
Prepay (Credit card, wire transfer) COD (via Courier) Electronic Funds Transfer (EFT)
Net Terms: _________________ Days ________ Credit Line Amount $ _________________________________________
Preferred Payment Method:
Card Number: ______________________________________ Expiration date: _____________________________________
Name On Card: _____________________________________
I am an authorized signer on the above card and hereby give permission to bill my credit card when requested.
Print Name: _________________________________________
Billing Address for Card Holder:
Signature: __________________________________________ Street: _____________________________________________
Date: ______________________________________________ City/State/Zip: ______________________________________
Credit Card Information: Check one: Visa MasterCard
Customer agree to notify Pure Orange Holdings Inc. (“Pure Orange”) of any changes in ownership of its business as set forth herein by certifi ed mail to:
Pure Orange Credit DepartmentThree Bentall Centre48203 - 595 Burrard StreetVancouver, BC, V7X 1N8CANADA
I/we hereby authorize Pure Orange or any credit bureau or other investigative agency retained by Pure Orange to investigate the references herein listed or statements or other data obtained from the Customer and/or the individual(s) making the application (collectively the “Credit Applicant”) or any other person pertaining to the Credit Applicant’s credit and fi nancial responsibility. In consideration of the extension of credit by Pure Orange to the Customer, I/we agree to promptly pay all accounts in accordance with the terms expressed on the invoice. I/we further agree that if any invoice for merchandise ordered shall remain
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
pg.3 of 3
EDU
CA
TIO
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HQ (604) 837-9786FAX (604) 837-0152
Customer Number
For Pure Orange Offi ce Use Only
outstanding past the due date, it shall bear interest at the rate of 2.0% per month (24% per annum) until paid. In the event that any suit or action is instituted to collect money due on the Customer’s account, whether principle or interest,or both, the Credit Applicant(s) agrees to pay, in addition to the amount owed, all legal fees and collection agency fees incurred. The undersigned individual(s) who is either a principle of the customer or a sole proprietors of the Customer, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the Customer, hereby consents to and authorizes the use of a consumer credit report on the undersigned by Pure Orange, from time to time as may be needed, in the credit evaluation process. The undersigned individual(s) hereby authorizes and consents to the collection, retention and use of his or her personal information for the purpose of this application, the extension of any credit, and the administration and collection of the Customer’s account. Where more than one person completes this form the liability of such persons shall be joint and several. This agreement shall be construed in accordance with the laws of the Province of British Columbia and the federal laws of Canada applicable therein and any controversy or claim arising out of, or relating to, this agreement, or the breach thereof, shall be resolved through litigation in the Courts of the Province of British Columbia. This agreement is strictly confi dential and is not transferable or assignable without prior written consent of Pure Orange. The undersigned agrees that any changes in liability for any debts incurred to Pure Orange due to a change in Customer’s form of business shall not be effective as to Pure Orange unless Pure Orange consents to such change in writing. The undersigned hereby agrees to be bound by the terms and conditions contained herein, the standard terms and conditions of credit, sale or other supply (as may be amended, supplemented, or replaced from time to time) and the terms of sale listed on an invoice or approved purchase order of Pure Orange and all other Pure Orange documents related to the arrangements between the undersigned and Pure Orange as amended, supplemented or replaced from time to time by Pure Orange or agreed to in writing by Pure Orange.
___________________________________________________ ___________________________________________________SIGNED TITLE
___________________________________________________DATE
Signature required for application to be processed
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
HQ (604) 837-9786FAX (604) 837-0152
pg.1 of 4
Customer Number
For Pure Orange Offi ce Use Only
Legal Business Name: _______________________________________________________________________________________
Registered Trade Name and #: ________________________________________________________________________________
Street Address: _____________________________________ Federal BN/GST/HST #: ________________________________
__________________________________________________ Phone: ______________________________________________
City: ____________ Prov.: ______ PC: _________________ Fax: ________________________________________________
Country: __________________________________________ Web site: ____________________________________________
E-mail Address: ____________________________________
Billing Address: (if different from above) ____________________ Shipping Address: (for multiple locations attach a sheet)
__________________________________________________ ____________________________________________________
__________________________________________________ ____________________________________________________
A/P Contact: ___________________ Phone: _____________ Contact: ___________________Phone: ____________________
(Please do not list 800 numbers or cell numbers)
Business Information:
Which category best describes your company? (Select one) Sports Arena Gift & Souvenir
Consumer Electronics Educational Institution or Reseller
Complete for NEW CUSTOMER ACCOUNT Prepay (Credit card, wire transfer) COD (via Courier) Electronic Funds Transfer (EFT)
Net Terms: _______________ Days ______________ Credit Line Amount $ ______________________________
Business is a: (check one) Sole Proprietorship Partnership Limited Company Other (Please Specify)___________________
Year Started: __________ Jurisdiction of Inc. _______________ D&B # __________________ Corporation # ___________
Are you a: Subsidiary or Division
Parent Company Name: _________________________________ City/Prov./PC _____________________________________
Parent Company D&B # __________________________________
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
HQ (604) 837-9786FAX (604) 837-0152
pg.2 of 4
Customer Number
For Pure Orange Offi ce Use Only
Principle Information:Owner/Partner/Offi cer Name & Title: __________________________________________________________________________
% Ownership: ______________________________________
Street Address: _____________________________________ E-mail: ______________________________________________
__________________________________________________ Phone: ______________________________________________
City: ____________ Prov.: ______ PC: _________________ Fax: ________________________________________________
Have you ever fi led for bankruptcy? No Yes
Personal Business Date fi led: ________________________ Status: _________________________
Bank Name: ________________________________________ Branch: ____________________________________________
Account #: _________________________________________ Phone: _____________________________________________
Street Address: ______________________________________ Fax: _______________________________________________
___________________________________________________
City: _____________________ Prov.: ___ PC: ___________
Bank References: (Required to set up an account)
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: _____________________ Prov.: ___ PC: ___________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: _____________________ Prov.: ___ PC: ___________
Name: _____________________________________________ Account #: __________________________________________
Street Address: ______________________________________ Phone: _____________________________________________
___________________________________________________ Fax: _______________________________________________
City: _____________________ Prov.: ___ PC: ___________
Trade References: (Please list 3 largest)
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
HQ (604) 837-9786FAX (604) 837-0152
pg.3 of 4
Customer Number
For Pure Orange Offi ce Use Only
Card Number: ______________________________________ Expiration date: _____________________________________
Name On Card: _____________________________________
I am an authorized signer on the above card and hereby give permission to bill my credit card when requested.
Print Name: _________________________________________
Billing Address for Card Holder:
Signature: __________________________________________ Street: _____________________________________________
Date: ______________________________________________ City/Prov./PC: _______________________________________
Credit Card Information: Check one: Visa MasterCard
Authorized Representatives Of The Customer:
Name: __________________________________________ Phone: _____________________ Fax: _____________________
Name: __________________________________________ Phone: _____________________ Fax: _____________________
Name: __________________________________________ Phone: _____________________ Fax: _____________________
Customer agree to notify Pure Orange Holdings Inc. (“Pure Orange”) of any changes in ownership of its business as set forth herein by certifi ed mail to:
Pure Orange Credit DepartmentThree Bentall Centre48203 - 595 Burrard StreetVancouver, BC, V7X 1N8CANADA
I/we hereby authorize Pure Orange or any credit bureau or other investigative agency retained by Pure Orange to investigate the references herein listed or statements or other data obtained from the Customer and/or the individual(s) making the application (collectively the “Credit Applicant”) or any other person pertaining to the Credit Applicant’s credit and fi nancial responsibility. In consideration of the extension of credit by Pure Orange to the Customer, I/we agree to promptly pay all accounts in accordance with the terms expressed on the invoice. I/we further agree that if any invoice for merchandise ordered shall remain outstanding past the due date, it shall bear interest at the rate of 2.0% per month (24% per annum) until paid. In the event that any suit or action is instituted to collect money due on the Customer’s account, whether principle or interest,or both, the Credit Applicant(s) agrees to pay, in addition to the amount owed, all legal fees and collection agency fees incurred. The undersigned individual(s) who is either a principle of the customer or a sole proprietors of the Customer, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the Customer, hereby consents to and authorizes the use of a consumer credit report on the undersigned by Pure Orange, from time to time as may be needed, in the credit evaluation process. The undersigned individual(s) hereby authorizes and consents to the collection, retention and use of his or her personal information for the purpose of this application, the extension of any credit, and the administration and collection of the Customer’s account. Where more than one person completes this form the liability of such persons shall be joint and several. This agreement shall be construed in accordance with the laws of the Province of British Columbia and the federal laws of Canada applicable therein
CREDITAPPLICATIONPure Orange Holdings Inc.48203 - 595 Burrard StreetVancouver, BC V7X 1N8
HQ (604) 837-9786FAX (604) 837-0152
pg.4 of 4
Customer Number
For Pure Orange Offi ce Use Only
and any controversy or claim arising out of, or relating to, this agreement, or the breach thereof, shall be resolved through litigation in the Courts of the Province of British Columbia. This agreement is strictly confi dential and is not transferable or assignable without prior written consent of Pure Orange. The undersigned agrees that any changes in liability for any debts incurred to Pure Orange due to a change in Customer’s form of business shall not be effective as to Pure Orange unless Pure Orange consents to such change in writing. The undersigned hereby agrees to be bound by the terms and conditions contained herein, the standard terms and conditions of credit, sale or other supply (as may be amended, supplemented, or replaced from time to time) and the terms of sale listed on an invoice or approved purchase order of Pure Orange and all other Pure Orange documents related to the arrangements between the undersigned and Pure Orange as amended, supplemented or replaced from time to time by Pure Orange or agreed to in writing by Pure Orange.
___________________________________________________ ___________________________________________________SIGNED TITLE
___________________________________________________DATE
Signature required for application to be processed