RESIDENTIAL PROPANE CREDIT APPLICATION2018-02-07T13:49:23+00:00

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RESIDENTIAL PROPANE CREDIT APPLICATION

RESIDENTIAL PROPANE CREDIT APPLICATION

CUSTOMER INFORMATION

CO-SIGNER

BANK REFERENCE

DELIVERY DETAILS

(OFFICE): ____________________

TERMS & CONDITIONS

PARK FUELS PROPANE WILL SUPPLY CUSTOMER’S REQUIREMENTS OF PROPANE AT THE ABOVE ADDRESS COMMENCING ___________________ 20 __________ AS DESIGNATED UNDER THE TERMS OF THE RENTAL AGREEMENT AND YEAR TO YEAR THEREAFTER UNTIL TERMINATED IN WRITING. WHILE THERE IS NO FIXED MONETARY LIMIT ON THE CREDIT THAT WILL BE EXTENDED UNDER THIS AGREEMENT, THE CUSTOMER IS EXPECTED TO USE SUCH CREDIT ONLY FOR HIS/HER REASONABLE REQUIREMENTS. CUSTOMER WILL NOTIFY PARK FUELS PROPANE IN ADVANCE SHOULD CUSTOMER VACATE THE PREMISES.
PAYMENT IS DUE 30 DAYS FROM THE DATE OF THE DELIVERY. SERVICE CHARGES ARE APPLICABLE TO ACCOUNTS NOT PAID WITHIN THE 30 DAY TERMS AND ARE ASSESSED AT 2% PER MONTH (26.82% PER ANNUM) ON THE TOTAL BALANCE 30 DAYS OR MORE PAST DUE. Initial: _____________________

IF MY ACCOUNT BECOMES PAST DUE, AUTOMATIC DELIVERY OF PROPANE MAY BE SUSPENDED.

PARK FUELS PROPANE WILL NOT BE RESPONSIBLE FOR FAILURE TO MAKE DELIVERIES DUE TO ANY CAUSE REASONABLE BEYOND ITS CONTROL.

I, THE UNDERSIGNED AUTHORIZE PARK FUELS PROPANE. TO VERIFY THE INFORMATION CONTAINED IN THIS REQUEST INCLUDING AUTHORIZATION TO OBTAIN A CREDIT REPORT.

I ALSO AUTHORIZE THE PERSONS NAMED AS REFERENCES AS WELL AS MY BANK TO GIVE ADDITIONAL INFORMATION WHICH IS CONSIDERED NECESSARY IN OBTAINING MY MARGIN OF CREDIT.

DEFAULT AND COLLECTION CHARGES:

I FURTHER AGREE TO PAY ACTUAL COLLECTION COSTS AND EXPENSES INCURRED BY PARK FUELS PROPANE, INCLUDING ANY AND ALL LEGAL FEES AND DISBURSEMENTS AND/OR COLLECTION AGENCY COSTS AND/OR ANY OTHER SIMILAR RELATED COSTS INCURRED BY PARK FUELS PROPANE, IN RECOVERING PAYMENT; ALL ON A FULL INDEMNITY BASIS.

to give instruction and incur costs for either propane delivery and/or technical services, on my behalf, as may be required from time-to-time. Prior confirmation, by me, to Park Fuels Propane or LeRoy’s Heating Services Ltd. is not required. Any applicable charges or costs will be charged to this account and payable within normal terms as agreed by me