Onboarding With CJR We’re excited to start working together. get started New Customer Account Application Application for a Business Account for both CJR Wholesale and DairyCentral Step 1 of 6 16% CJR WHOLESALE & DAIRYCENTRAL CUSTOMER APPLICATIONThis is the complete application. Before beginning, please have your incorporation documents, contact information, and banking details on hand. The application will take approximately 10-30 minutes to complete, so be sure to set aside the necessary time before starting.How did you hear about us?Referred from a customerGoogleSocial mediaWord of mouthCompany InformationLegal Company Name(Required)Operating Name(Required)Has your company ever done business under a different name?(Required)YesNoIf "YES" then under what name?Business Type(Required)Sole ProprietorshipGeneral PartnershipLimited PartnershipLimited Liability PartnershipCorporationJoint VenturePublic CompanyNon-Profit OrganizationDate of Registration or Incorporation(Required) MM slash DD slash YYYY Company WebsiteDo you have a CDC (Canadian Dairy Commission) Permit?YesNoUpload Copy of CDC Permit(Required)Max. file size: 100 MB.Please attach a copy of your CDC Permit if applicableNumber of employees?Line of business(Required)CharitableConvenience StoreDiscount StoreDistributorExportFood ServiceGrocery StoreIndustrialPharamacyYears in business(Required)GST / HST #(Required)Must be formatted like example: 123456789RT0001 Contact InformationPrincipal Name(Required) First Last Phone Number(Required)Email(Required)Fax NumberRole in CompanyShipping & BillingDo you have different emails for Invoicing and Communication? Yes No, they are the same email Invoicing is for invoicing and Communication is for NEW products, specials deals etc.Invoicing & Communication Email(Required) Enter Email Confirm Email Main E-mail (Invoices). This is where ALL invoices and general communication will be sent. Please note. We want to ensure that ALL customer know about NEW products, special deals, important dates or delivery changes, etc. Therefore, we will use the above email address for these communications. Should you NOT want to be included in these emails, there will be an OPT-OUT option available to you. Please also check to ensure that our emails are not landing in your SPAM folder. On-line ordering confirmations, invoices and statements will be sent here.Invoicing Email(Required) Enter Email Confirm Email Main E-mail (Invoices). This is where ALL invoices will be sent. Please also check to ensure that our emails are not landing in your SPAM folder. Invoices and statements will be sent here.Communication Email(Required) Enter Email Confirm Email Main E-mail (General Communication). This is where ALL general communication will be sent. Please note. We want to ensure that ALL customer know about NEW products, special deals, important dates or delivery changes, etc. Therefore, we will use the above email address for these communications. Should you NOT want to be included in these emails, there will be an OPT-OUT option available to you. Please also check to ensure that our emails are not landing in your SPAM folder. On-line ordering confirmations and product updates will be sent here.Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing Address (Please ensure that your Suite or Unit number (if applicable) is entered.Is shipping address the same as billing address?(Required)YesNoShipping Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Complete if different from billing address above, please ensure that your Suite or Unit number (if applicable) is entered. Customer Delivery RequestsRequested Delivery Instructions. These are customer requested deliveries and CJR / DairyCentral will advise if they can be accommodated.Number of deliveries / week(Required)Requested Delivery Day(s)(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday No Preference Requested Delivery Window(Required)MorningEarly AfternoonLate AfternoonNo PreferenceReceiving HoursMorningEarly AfternoonLate AfternoonAnytimeReceiving instructions guidelines: Persons receiving shipments should, upon acknowledging receipt of an order, needs to verify and signed: The quantity ordered against the quantity shipped or delivered. There is no damage or breakage. Delivery documentation (packing list) is acceptable. Perishable items are in good condition and expiration dates have not been exceeded. Delivery issues such as quantity discrepancies or damages MUST be reported to the Order Desk within 24 hours. Truck Type Accessibility(Required) Tractor Trailer Straight Truck Any Vehicle Type All of the Above Other If Other, please indicate which vehicle(Required)Special Delivery Instructionsie Front / Back / Ring bell / etc.Receiving Contact Name First Last Receiving Contact Phone Number (if different) Company OperationsIs Order Contact different from Principal Contact?(Required)YesNoOrder Contact Name(Required) First Last Order Contact Phone #(Required)Number for person to contact about order detailsOrder Contact Email(Required) Email for person placing the orderIs Accounts Payable Contact different from Principal Contact?(Required)YesNoAccounts Payable Contact Name(Required) First Last Accounts Payable Contact Phone #(Required)Accounts Payable Email(Required) Are company PO's required?(Required)YesNo Payment OptionsIf you intend to make payment at time of delivery (COD).Payment Method(Required) Pre-Authorized Debit (separate form required) Bank On-Line Payment Credit Card (some charges may apply) Current Dated Cheque EFT (electronic funds transfer) Are you asking for Credit Terms?(Required)YesNoCredit RequestedThis application is for terms for a revolving account.Credit Limit Requested(Required)Credit Terms Requested (Payment Days)(Required)7 Days14 Days21 Days30 DaysTrade ReferencesAll information must be completely filled. Incomplete information will delay the approval process.Trade Reference Contact 1(Required) First Last Trade Reference Contact 1 Phone Number(Required)Trade Reference Contact 1 Email(Required) Trade Reference Contact 2(Required) First Last Trade Reference Contact 2 Phone Number(Required)Trade Reference Contact 2 Email(Required) Trade Reference Contact 3(Required) First Last Trade Reference Contact 3 Phone Number(Required)Trade Reference Contact 3 Email(Required) Banking InformationAll information must be completely filled. Incomplete information will delay the approval process.Bank Name / Branch(Required)First ChoiceSecond ChoiceThird ChoiceBank Address (Please ensure that your Suite or Unit number (if applicable) is entered. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Bank Phone NumberInstitution #(Required)Transit #(Required)Account #(Required) Terms and Conditions - CJRI agree to the following terms and conditions.CJR Wholesale Estimated Weekly Purchases(Required)This is your estimate of Dry Grocery, Cooler, and Frozen purchases from CJR Wholesale per weekFirst Name(Required)Last Name(Required)Consent(Required) I agree to CJR Wholesale Terms & Conditions.By agreeing, I authorize CJR Wholesale Grocers Ltd. to obtain any information required concerning this statement and application hereon and affirm that the information is true and correct. I hereby authorize CJR Wholesale Grocers Ltd. or any credit bureau or other investigative agency employed by CJR Wholesale Grocers Ltd. to investigate the references herein listed or statements or other data obtained. In consideration of the extension of credit by CJR Wholesale Grocers Ltd. to us, we agree to promptly pay all bills in accordance with the terms expressed on the invoice. I agree to the above statement and accept the terms and conditions.Terms and Conditions - DCI agree to the following terms and conditions.DairyCentral Estimated Weekly Purchases(Required)This is your estimate of DAIRY purchases from DairyCentral per weekFirst Name(Required)Last Name(Required)Consent(Required) I agree to the DairyCentral (DC) Terms & ConditionsBy agreeing, I authorize CJR Wholesale Grocers Ltd. to obtain any information required concerning this statement and application hereon and affirm that the information is true and correct. I hereby authorize CJR Wholesale Grocers Ltd. or any credit bureau or other investigative agency employed by CJR Wholesale Grocers Ltd. to investigate the references herein listed or statements or other data obtained. In consideration of the extension of credit by CJR Wholesale Grocers Ltd. to us, we agree to promptly pay all bills in accordance with the terms expressed on the invoice. I agree to the above statement and accept the terms and conditions.
