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Customer Application

GEMSEN takes pride in our commitment to excellence and are pleased to offer our exceptional range of products exclusively to retailers within Canada. As a dedicated distributor, we prioritize serving the Canadian market with products that meet the highest standards. If your company is based in Canada and shares our passion for quality and reliability, we invite you to explore the possibilities of partnership with us. To get started, please complete our dealer application form below and we will be in contact with you shortly.

COMPANY INFORMATION





























PROPRIETORS, PARTNERS AND OFFICERS




TYPE OF CREDIT REQUESTED
Gemsen Sales team will contact you!




TRADE REFERENCES







PST TAX REGISTRATION(IF APPLICABLE)

POINTS OF SALE




HOW DID YOU HEAR ABOUT US?









TERMS AND CONDITIONS

THE ABOVE INFORMATION IS SUPPLIED FOR THE PURPOSE OF OBTAINING CREDIT AND IS WARRANTED TO BE TRUE. I UNDERSTAND AND CONSENT TO GEMSEN. OBTAINING A CONSUMER REPORT CONTAINING INFORMATION RELATING TO THIS APPLICATION. I FURTHER AGREE THAT SHOULD MY ACCOUNT FALL INTO ARREARS, GEMSEN IS ENTITLED TO WITHDRAW CREDIT PRIVILEGES AT ITS OWN DISCRETION. NSF CHEQUES ARE SUBJECT TO A MINIMUM SERVICE CHARGE OF $25 PER OCCURANCE. THE APPLICANT HEREBY ACKNOWLEDGES RECEIVING A COPY OF THE CREDIT APPLICATION. COMPLETION OF THIS APPLICATION SHALL CONSTITUTE APPROVAL FOR THE RELEASE OF INFORMATION AS PROVIDED FOR BY APPLICABLE PRIVACY LEGISLATION. ALL PAYMENTS ARE DUE ON THE DATE SET OUT ON THE INVOICE. INTEREST SHALL ACCRUE AT 2% PER MONTH (24% PER ANNUM). IN THE EVENT THAT ANY COLLECTION PROCEEDINGS ARE REQUIRED FOR OUTSTANDING INVOICES, ALL COLLECTION COSTS SHALL BE THE RESPONSIBILITY OF THE CUSTOMER. ALL GOODS SHALL REMAIN THE PROPERTY OF GEMSEN UNTIL PAID FOR IN FULL. ALL SHIPMENTS WILL BE SENT COD, FREIGHT COLLECT UNLESS OTHERWISE APPROVED BY GEMSEN. I UNDERSTAND AND AGREE THAT ALL RETURNS ARE SUBJECT TO A 25% RESTOCKING CHARGE AND MUST ACCOMPANY AN APPROVED RETURN AUTHORIZATION NUMBER (RA#) SUPPLIED BY GEMSEN. FOR CORPORATE ACCOUNTS, AND FOR GOOD AND VALUABLE CONSIDERATION ACKNOWLEDGED TO HAVE BEEN RECEIVED BY HIM OR HER, THE UNDERSIGNED HEREBY GUARANTEES THE OBLIGATIONS OF THE CUSTOMER WITH RESEPCT TO PAYMENT OF ALL INVOICES AND BALANCES DUE TO GEMSEN, FROM TIME TO TIME, INCLUDING ALL INTEREST AND COSTS WHICH MAY BE CHARGEABLE ON THE ACCOUNT.

Note : Please enter your name below to confirm you understand terms and conditions listed above!