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.