OPENING AN ACCOUNT

Before final payment is effected all goods remain the property of Twin Ducks Inc.

Interest at 2% per month (24% per annum) will be charged on an overdue account.

Business Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website Address(If any)

http://

Owner Name

If a company, Indicate the name of the Principal Person

First Name

Last Name

Email Address

Phone

Country

(###)

###

####

Fax Number

Country

(###)

###

####

Business Type

How Many Years of Doing Business

Bank

Bank Account Number

Bank Address

Telephone

Country

(###)

###

####

The Required Credit Amount

Provincial Sales Tax Number

Federal Number

Supplier/Trade References Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Supplier/Trade References Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Signature

Name

First Name

Last Name

Official Title

Date

YYYY

Form of Opening an Account

OPENING AN ACCOUNT