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 HiddenCustomer ApplicationLegal Name:* Operating As:* # of Years:*Street Address:* City:* Province:* Postal Code:* Contact Person:* Cellular Number:*Restaurant Number:*Email:* Ownership InformationOwner(s) Name(s):* Title(s):* Email(s):* Date* Month Day Year Bank ReferenceBank: 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.Printed Name: Title: Date: Month Day Year 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 #:*CommentsThis field is for validation purposes and should be left unchanged.