Please complete this form. All fields are
Italic bold
are obligatory.
Company
:
Billing address
Street
:
Unit :
City
:
Postal code
:
Telephone
:
Fax
:
Shipping address
Street
:
Unit :
City
:
Postal code
:
Telephone
:
Fax
:
Tax number
GST :
QST :
Name of buyer
Family name
:
First name
:
Family name :
First name :
Banking references
Bank name :
Account number:
Address :
Supplier references
1- Name
:
1- Telephone
:
1- Fax :
2- Name
:
2- Telephone
:
2- Fax :
3- Name
:
3- Telephone
:
3- Fax:
Term of payment
First order is payable in advance. Subsequent orders are payable 30 days.
Interest are calculated at 24% annualy.
By submitting your request, you understand and agree to a credit verification prior to Hotelite Inc.