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Email address *Required

A link to set a new password will be sent to your email address. Once our team processes your account you will be able to submit an order.

Year Business Opened *

Business Type * Sole Proprietorship Corporation Partnership Other

Name of Bank *

Full Address of Bank *

Bank Phone *

Bank Contact Name *

Bank Contact Email *

Company *

First Name *

Last Name *

Shipping Address *

Shipping City *

Shipping Province *

Shipping Phone *

Billing Address *

Billing City *

Billing Province *

Billing Phone *

Agreement

1. All invoices are to be paid fourteen days from the date of the invoice. A finance charge of 2% will be charged on balances 15 days past due.
2. By submitting this application, you certify that the statements given above are true and authorize verification.
3. You agree that if reasonable collection or legal action is deemed necessary by Northumberland Lamb Marketing Co-Op Ltd. to receive monies owed, the collection or legal fees shall be charged to and paid by the above person, business or organization.
4. Signature below is an acceptance of terms and conditions set forth in this agreement and certification that information on this form is correct.

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