(if less than 2 years at current, provide previous address as well)
Please be advised that Cool Creek Energy Ltd. sends all customer invoices and statements via email, therefore email addresses are required.
Customers who do not have an email address may contact the office to arrange mail delivery.
Trade references from whom customer is buying on credit - Name and fax number Note: Credit Cards are not considered as trade references
Est. Month Usage (Litres)
Check those that apply:
Accounts are due in full on or before the 20th of the following month. If payment is not received on or prior to this date, penalty interest will be applied on all invoices over 30 days old, from date of invoice, at a rate of 2% per month (26.8% per annum). Cool Creek reserves the right to suspend or alter credit terms as required.
[checkbox* authorization "By clicking "agree and submit" at the bottom of this credit application, I agree that Cool Creek Energy Ltd. (The company) may, from time to time, give any credit and other information, including any information on this application to, or receive such information from any (a) credit bureau or reporting agency; and (b) person in connection with any dealings I have or propose to have with the Company, or the Company's authorized representative. I further agree that the Company may use that information to establish and maintain a relationship between the Company and myself and to offer me any service as permitted by law. "]
The individual(s) electronically submitting this application for credit on behalf of the applicant proprietorship, partnership, or corporation noted above, if applicable, hereby individually in their individual capacities, personally, and unconditionally guarantee payment to Cool Creek Energy Ltd. for all amounts now or hereafter owing by the above applicant for goods delivered, services rendered, and all interest accrued on any amounts past due.