John G. Hofland Ltd | 6695 Pacific Circle, Mississauga, ON L5T 1V6
Phone 905 670-8220 or 1-800-387-6760 | Fax 905-670-8257 or 1-800-385-5113
LEGAL COMPANY NAME
STORE NAME
NAME OF OWNER
1
MAILING ADDRESS
2
CITY PROV POSTAL CODE
3
SHIPPING ADDRESS Same as mailing
STREET
1
CITY PROV POSTAL CODE
2
WEBSITE ADDRESS
3
BUSINESS PHONE #
SECONDARY PHONE #
FAX #
EMAIL
NATURE OF BUSINESS
Retail Florist Gift Shop*
Garden Center/Landscape Kitchen Store
Grower Department Store
Interior Design/Display Special Events Company
Craft Store Wedding Designer
Grocery Store Variety Store
Other (specify)
INDICATE PREFERRED METHOD OF PAYMENT TYPE OF BUSINESS
CASH (COD) CREDIT CARD CREDIT TERMS* PROPRIETORSHIP PARTNERSHIP
Interact Email Transfer CORPORATION
AP CONTACT NAME
WILL PRODUCTS PURCHASED BE RESOLD?
YES NO
AP PHONE #
DO YOU MAINTAIN A STOREFRONT LOCATION?
AP EMAIL YES NO
Date:
HOW DID YOU HEAR ABOUT US?
Referral Facebook
Print Name of Authorized Person Website/Online Instagram
Tradeshow (specify)
Authorized Signature Other (specify)
I certify that the above information is correct.
In the event of an external audit, at the request of the government office, this information will be forwarded for their review.
ACCOUNTS PAYABLE CONTACT INFO
*Gift Shop (specify major product lines)
*Attach credit application
CURRENT PROOF OF BUSINESS*
*One document must be submitted for application to be processed
(Attach copy of Documentation)
CURRENT SUPPLIERS
Provide 3 suppliers with which you have a current account
ANTICIPATED YEARLY PURCHASES ($)
BUSINESS LICENCE #
(Attach copy of Master Business License)
NAMES OF EMPLOYEES ALLOWED TO PURCHASE ON
ACCOUNT
All areas must be completed in full
. Please allow up to 5 business days to process application.
1. $200 minimum purchase required to open account.
2. Annual purchase of $1000 is required to maintain account.
3. For credit terms to be established, a separate credit application must be completed.
4. Approved Hofland customers will be added to our subscription list. We do not sell or disclose your information to third parties.
