12 Goldfinch Court #506
Toronto, ON, Canada    M2R 2C4

Credit Application
Phone: 416-630-3080
Email:  info@intelligencerealm.com
  Company Name & Address
  Legal Company Name:

  DBA:
  Mailing Address:

  City:

  Province:   Postal Code:
  Phone:

  Fax:   Web Site:
  Purchasing
  Contact Name:

  Phone:   Email Address:
  Accounts Payable
  Contact Name:

  Phone:   Email Address:
  Company Profile
  No. Years In Business:

  Annual Sales:   No. Employees:   No. Locations:
  Organization Type:    Corporation    Partnership    Sole Proprietorship
  Officers/Principals
  Full Name:

  Phone:
  Customer Classification:
Reseller VAR System Builder Wholesale Distributor
Major Corporation Medium Corporation Small Business End User
Federal Government Provincial Government Local Government Educational
  Trade References
  Company Name:   City, Province:   Phone:   Contact Person:
  

        
  

        
  

        
  Bank Reference
  Bank Name:

  City, Province:   Phone:   Contact Person:
  Chequing Account:

  Savings Account:   Loan Account:   Line of Credit Account:
  Credit Information
  Est. Monthly Purchases:

  Requested Limit:   Terms: Net 15   Net 30
  Payment Methods: Credit Card   Cheque   Cash   Wire Transfer   Money Order (check all that apply)
  Authorized Signature: _________________________________________________Title: _______________________________________

  Date: __________________________

  The undersigned certifies that all information in this credit application is complete, factual and correct, and understands the supplier will rely on the
  accuracy of this information for any credit that may be extended. Supplier is hereby expressly authorized to contact any parties listed herein and
  to verify any information contained in this credit application.
  PERSONAL GUARANTEE

  Obligor: ___________________________________________________

  The Obligor named above desires to transact business and to make credit arrangements with Intelligence Realm Inc., with principal office at
  12 Goldfinch Court #506, Toronto, ON, Canada M2R 2C4 (hereinafter called "Intelligence Realm"). Intelligence Realm is unwilling to extend credit to the Obligor
  unless it receives the guarantee of the undersigned (hereinafter called "Guarantor"). Guarantor acknowledges that it has received a benefit
  from the financing transaction between Obligor and Intelligence Realm. In consideration of Intelligence Realm entering into an arrangement
  with Obligor, the undersigned does absolutely and unconditionally guarantee to Intelligence Realm the full, faithful and prompt performance,
  payment and discharge of any and all obligations and agreements of Obligor under or with respect to any and all such transactions and any
  and all other agreements (whether by way of guaranty or otherwise) of Obligor with Intelligence Realm. This is a Guaranty of payment and
  not of collection. Notice of acceptance of this Guaranty is hereby waived.

  Presentment, protest and demand, and notice of protest and demand of any and all transactions with Intelligence Realm are hereby waived.
  Any rights to extension, composition or otherwise under the Bankruptcy Code or any amendments thereof, or under any province or other federal
  statute are hereby waived. Extensions of the times of payment, and extensions of the times of performance of agreements of Obligor, or any other
  compromises, adjustments, or indulgences may be granted without notice to Guarantor.

  Failure by Intelligence Realm to insist upon strict performance or observance of any terms extended shall not be construed as a waiver
  or relinquishment for the future of any terms, provisions or covenants, but, as to the Guarantor, the same shall continue to remain
  in full force and effect. The liability of the Guarantor under this Guaranty shall be primary and in any right of action which shall accrue
  to Intelligence Realm under any agreement. Intelligence Realm may, at its option, proceed against the Guarantor, jointly or severally,
  together with Obligor and or other Guarantors, or may proceed against the Guarantor without having commenced any action against or
  having obtained any judgment against Obligor, other Guarantors or any other party liable with respect thereto; this Guaranty being
  a guaranty of payment and not of collection.

  This Guaranty may be terminated by the Guarantor by serving ten (10) days written notice upon Intelligence Realm, at the address
  stated above, but as to all obligations of Obligor, contingent or absolute, incurred up to the effective date of such notice,
  this Guaranty shall be continuing and unconditional until the same are fully paid.

  The Guaranty shall not be discharged or affected by the death of any of the Guarantor, but shall bind the heirs, executors, administrators
  and assigns of the Guarantor, and the benefits thereof shall extend to and include the successors and assigns of Intelligence Realm.

  This Agreement will be governed and constructed in accordance with the laws of the Province of Ontario without regard to the conflicts of laws
  or principles thereof. Any suit brought hereon shall be brought in the provincial or federal courts sitting in the city of Toronto, Ontario, Canada.
  Authorized Signature: _________________________________________________Title: _______________________________________

  Date: __________________________