Waffle World Ltd.

73 RAILSIDE ROAD, UNIT #3, DON MILLS, ONTARIO, M3A 1B2
TEL: 416-447-4811 FAX: 416-447-6174

Customer Application *Required Field
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Customer Application
Legal Name:*
Operating As:*
# of Years:*
Street Address:*
City:*
Province:*
Postal Code:*
Contact Person:*
Cellular Number:*
Restaurant Number:*
Email:*
Ownership Information
Owner(s) Name(s):*
Title(s):*
Email(s):*
Date*
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Day
Year
Bank Reference
Bank:
Account Officer:
Street Address:
Phone Number:
City:
Province:
Postal Code:
Account Number:
Type of Relationship:
- Checking
- Lending
I have the authority to bind the account and I authorize the above bank to release credit information regarding demand deposit and lending accounts to WAFFLE WORLD LTD.
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Date:
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Trade References (3 References Required)
Company Name:*
City:*
Province:*
Phone Number:*
Company Name:*
City:*
Province:*
Phone:*
Company Name:*
City:*
Province:*
Phone:*
Distributor:*
Distributor Account Number:*
# of Years:*
Name of Sales Rep:*
Cell #:*
Email
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Customer Application