Company or Entreprise Name :
Kind of Business : Owner or President name :
In business since :   years. if a new business anticipated opening date :
 
 Address :
 City :
 Postal / Zip Code :
 Province / State :
 Country :
 Telephone :
 Fax :
 Transport Via :
 Same as Shipping Address 
 Address :
 City :
 Postal / Zip Code :
 Province / State :
 Country :
 Telephone :
 Fax :
 Transport Via :
Purchasing : Acc. Payable :  
Minimum Fill-Rate : do not ship if order is less than % complete Backorders :  yes  no
 Name :
 Address :
 City : Postal / Zip :
 Account No : Telephone :
 Fax No : Person to contact :
1.  2. 
3.  4. 
 Estimated yearly (12 month) purchases with Chateau Lingerie: $  
To avoid unnecessary delays this form must be clearly and fully completed!

Company or Enterprise name: legal name of the business or store

Kind of Business: Ex.: single or multiple stores, speciality store, catalogue outlet

In Business since: Number of eyars in business OR anticipated opening date.

Owner or president name: Name of the president or name of the owner(s).

Shipping: Address where merchandise is to be shipped (ship to). If there are more than one location and we ship to these locations; a complete list must be attached.

Invoicing: Name and address of who will pay the invoice. (Also referred to as )

Transport via: The customer MUST specify which transport company to sue.

Credit Limit Request: The desired credit limit that is requested should be entered. If there is no limit then it will be based on the first order.

Contact Persons: Names of company staff that can be contacted for purchasing and accounting.

Minimum Fill-Rate: The minimum percentage that an orde can be processed when the ship date is due. (i.e. order will ship out on the ship date ONLY if we are able to fill this min %)

Backorders: Are backorders allowed.

Example: If min is 85% and backorders is NO,, We will ship ONLY if we reach 85% or more and automatically cancel balances. If we are under 85% we will cancel order AND balances.

Financial / Banking information: the name and address of the bank or financial institution. In addition a contact person and phone numbers are to be supplied. There should be no hesitation in filling in the account #, since this will be obtained after the first cheque is received.

Supplier References: References from AT LEAST 4 suppliers including their FAX number. Well known references will decrease the processing time of the application.

Estimated volume: Dollar purchase volume anticipated for a 12-month period.

All fields are mandatory fields.