Commercial or Farm-Use

Account Application & Agreement

 

Please complete the form online and submit. You will receive a confirmation email if you provide an address.

 

Fields marked with * are required.

 

For your convenience, a fillable pdf form is provided here should you wish to mail, email or fax your application to us.

 

In order to have charge privileges, either a consumer credit application or commercial credit application must be completed and approved as per our credit policy. Our payment options provide several options to keep your account in good standing. 

 

 

Terms & Conditions


(if different from above)




If services are to be provided if different from the mailing address.


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Please check all that apply.




Help us go green - receive your statements by email!

By entering your name(s) and clicking "Apply for Credit", you: 1) have read, understand and agree to the terms and conditions stated, 2) are signing this application electronically, 3) agree your electronic signature is the legal equivalent of your manual signature, and 4) agree to the terms and conditions stated.
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In consideration of Hensall Co-op extending credit to the Corporation (the "Corporation') described in "Terms and Conditions", the sum of TWO ($2.00) DOLLARS now paid by Hensall Co-op to the undersigned (the receipt and sufficiency whereof is hereby acknowledged) and other good and valuable consideration, the undersigned guarantor(s) hereby irrevocably and unconditionally guarantee(s) the payment of all present and future indebtedness of the Corporation to Hensall Co-op. This guarantee is a continuing guarantee. The obligation and liability on the part of the undersigned shall be primary, payable immediately upon demand and without recourse first having been mady by Hensall Co-op against the Corporation. The undersigned shall be responsible for and shall reimburse Hensall Co-op for all costs and expenses incurred by Hensall Co-op in connection with the enforcement of this guarantee, including solicitor costs on a substancial indemnity basis.
Entering your name here and submitting this form will be considered your signature and acceptance of all terms and conditions stated above and related to this application.
Entering your name here and submitting this form will be considered your signature and acceptance of all terms and conditions stated above and related to this application.