Online Application

Is this for you personally or for your business?*
- Personal
- Business

Before you start the application process, please make sure of the following:
- You have about 10-15 minutes to complete the application online. The form cannot be saved for another time and must be completed from start to finish
- Ownership number name must match the name and signature on the credit application.
- You must have your Social Insurance Number ready
- If requesting dyed fuels have dyed fuel permit number ready.
- Dyed fuel permit number on Government site must match the ownership number name.
- A witness is available, as a witness will be needed to complete your application online. If you have a co-applicant during the process, they can be your witness to the signing process as well.
- The form cannot be saved for another time and must be completed from start to finish

Before you start the application process, please make sure of the following:

You have about 10-15 minutes to complete the application online. The form cannot be saved for another time and must be completed from start to finish
Ownership number name must match the name and signature on the credit application.
You have your GST/Business Number ready
If requesting dyed fuels have dyed fuel permit number ready.
Dyed fuel permit number on Government site must match the ownership number name.
Sole Proprietors: Please ensure that a witness is available, as a witness will be needed to complete your application online.
Primary signing authority/contact for the business must be the person filling in this form and will require signatures at the beginning and end of the application process to confirm the application has been filled out to its entirety.
Partnerships & Corporations: We will register witness signature as your secondary authorized signature during the application process. Please ensure that a witness/secondary authorized person is present.
Corporations and partnerships will require at least 2 signatures.
The form cannot be saved for another time and must be completed from start to finish

General Agreement and Statement of Disclosure In consideration of the Co-op accepting your credit application, which forms part of this agreement, and opening an account in your name, you agree to the credit terms set out below: 1. Types of Credit Accounts (1) Under a charge account, credit is extended for new purchases (i.e. a purchase not shown on a previous statement) to the Due Date shown on the statement. No interest is charged on new purchases when the Co-op receives payment in full by the Due Date. Under a dating account, credit is extended for new purchases beyond 30 days to the Due Date shown on the statement. No interest is charged on the purchases recorded in a dating account. When due, the purchases in the dating account are transferred to the charge account and interest is charged at the interest rate on the charge account if the amount transferred is not paid on or before the Due Date. (2) Upon cancellation or expiry, you will pay your accounts in full despite the cancellation or expiry of any rights and privileges under this agreement. (3) The Co-op has the right to cancel your credit accounts at any time, including, without limitation, upon your death or if you become bankrupt or insolvent. (4) You may make enquiries about your accounts during the Co-op’s ordinary business hours by a local or collect call to the telephone number set out above. 2. Credit Limit (1) The Co-op will advise you of your credit limit (the “Limit”) by letter or in your first statement after acceptance of your credit application. The Limit may be increased or decreased at any time by the Co-op. The change will be disclosed in the next statement following the change. You hereby request to any increase to the Limit at any time for which you may qualify. (2) You agree not to make purchases on your accounts where the amount of the purchase plus any balance then outstanding would in total exceed the Limit unless the Co-op, in its sole direction, permits you to exceed the Limit, in which case the terms set out in this agreement apply to those amounts in excess of the Limit. 3. Billing (1) The Co-op will send you a statement every month for purchases that have been made under your accounts during the previous month, and for any previous unpaid balance. Co-applicants will not receive statements. (2) If you do not notify the Co-op in writing of an error or omission in your statement of account within 30 days of the statement date, you agree that the statement is considered conclusively to be correct. (3) Any adjustment made by means of a credit voucher will be credited to you, but until the time the credit voucher is granted and recorded, you are responsible to pay the amount to which it relates to the Co-op in accordance with this agreement. 4. Interest and Payment (1) You agree to perform promptly all your obligations under this agreement. (2) You agree to pay the amount due in full on or before the due date appearing on each statement sent by the Co-op to you. (3) You have the right to prepay the entire balance in full or in part without charge. (4) You agree to pay to the Co-op on all past due amounts at the annual rate of 24%, both before and after demand, default and judgement. This is the annual percentage rate on the charge account. This interest is added to the charge account and forms part of the amount due. This interest will bear interest on your next monthly statement (monthly compounding) if the amount due on the statement is not paid in full on or before the due date. (5) Payments will be applied by the Co-op in the following order: previously billed interest and purchases, interest and purchases shown on current statement, interest and purchases to be billed. (6) You agree you are liable for the entire outstanding balance of your accounts despite any variation of interest terms by the Co-op. (7) In addition to the amounts otherwise payable under this agreement, you agree to pay the Co-op its charge for each cheque received by the Co-op from you that is subsequently dishonoured. (8) Payments must be made only by cash, cheque, debit card, electronic banking, or any other arrangement authorized by the Co-op. 5. Default (1) You will be in default if any of the following occurs: (a) you do not make a payment when due; (b) a bankruptcy proceeding is filed by or against you or you are the subject of receivership or insolvency proceedings or any of your assets are seized; (c) you have made a false or mis-leading representation on your Credit Application; (d) you die; (e) you breach any of your other agreements in this agreement; f) if the Co-op has reasonable cause to believe your ability to perform obligations under this agreement, including making timely payments, is impaired. (2) Upon your default, the Co-op has the remedies in this arrangement and at law. The Co-op may immediately suspend or cancel your privilege to obtain credit. The outstanding balance in your accounts will become due and payable ten days from the date the Co-op’s written notice of the default or other event is sent to you. (3) You agree to pay all reasonable expenses, costs and disbursements, including fees as between a solicitor and his or her own client, which may be incurred by the Co-op in the enforcement of its rights under the agreement. (4) You agree that taking of a judgement against you will not operate as a merger of your promise to pay, or affect the right of the Co-op to collect interest at the rates notified to you from time to time on any amounts owing to the Co-op under this agreement or on the judgement. 6. Cancellation. You may cancel this agreement at any time by written notice. 7. Amendments. The Co-op may amend the provisions of this agreement including the interest rate by giving written notice to you of the change. The Co-op will notify you in writing of the amendment, which may be by notice on your statement. The amendment will be effective 30 days, or such greater time period as may be required by applicable laws, after the date notice is given. Unless you cancel your credit accounts within that notice period, the amendment(s) will be binding on you. 8. Notices. Any notice required or permitted to be given to you under the terms of this agreement is sufficiently given if shown on your statement or if sent by prepaid first class mail to the latest address contained in the Co-op’s files. Unless otherwise provided in this agreement or by law, any notice so given will be considered to have been received by you on the 7th day after the date on which it was mailed. You agree to notify the Co-op promptly of any change of address. Notice to you or a co-applicant is considered notice to all. 9. Co-applicants (1) Where a co-applicant signed the credit application with you, the terms of this agreement bind each of you and apply with whatever changes of grammar are necessary. (2) Where there are co-applicants, you agree that your liability for all amounts payable under the terms of this agreement is joint and individual, which means you are liable for individually and together for all amounts charged to the accounts. 10. Miscellaneous (1) If any part of this agreement is contrary to law or found inoperative by any court, that part is ineffective without invalidating the other parts of this agreement. (2) This agreement will be governed by the laws of the Province in which the Co-op is situated. (3) You acknowledge receipt of a copy of this agreement at the time of signing the General Credit Application and before the extension of any credit or the use of the account*
General Agreement and Statement of Disclosure

In consideration of the Co-op accepting your credit application, which forms part of this agreement, and opening an account in your name, you agree to the credit terms set out below:

1. Types of Credit Accounts
(1) Under a charge account, credit is extended for new purchases (i.e. a purchase not shown on a previous statement) to the Due Date shown on the statement. No interest is charged on new purchases when the Co-op receives payment in full by the Due Date. Under a dating account, credit is extended for new purchases beyond 30 days to the Due Date shown on the statement. No interest is charged on the purchases recorded in a dating account. When due, the purchases in the dating account are transferred to the charge account and interest is charged at the interest rate on the charge account if the amount transferred is not paid on or before the Due Date.
(2) Upon cancellation or expiry, you will pay your accounts in full despite the cancellation or expiry of any rights and privileges under this agreement.
(3) The Co-op has the right to cancel your credit accounts at any time, including, without limitation, upon your death or if you become bankrupt or insolvent.
(4) You may make enquiries about your accounts during the Co-op’s ordinary business hours by a local or collect call to the telephone number set out above.

2. Credit Limit
(1) The Co-op will advise you of your credit limit (the “Limit”) by letter or in your first statement after acceptance of your credit application. The Limit may be increased or decreased at any time by the Co-op. The change will be disclosed in the next statement following the change. You hereby request to any increase to the Limit at any time for which you may qualify.
(2) You agree not to make purchases on your accounts where the amount of the purchase plus any balance then outstanding would in total exceed the Limit unless the Co-op, in its sole direction, permits you to exceed the Limit, in which case the terms set out in this agreement apply to those amounts in excess of the Limit.

3. Billing
(1) The Co-op will send you a statement every month for purchases that have been made under your accounts during the previous month, and for any previous unpaid balance. Co-applicants will not receive statements.
(2) If you do not notify the Co-op in writing of an error or omission in your statement of account within 30 days of the statement date, you agree that the statement is considered conclusively to be correct.
(3) Any adjustment made by means of a credit voucher will be credited to you, but until the time the credit voucher is granted and recorded, you are responsible to pay the amount to which it relates to the Co-op in accordance with this agreement.

4. Interest and Payment
(1) You agree to perform promptly all your obligations under this agreement.
(2) You agree to pay the amount due in full on or before the due date appearing on each statement sent by the Co-op to you.
(3) You have the right to prepay the entire balance in full or in part without charge.
(4) You agree to pay to the Co-op on all past due amounts at the annual rate of 24%, both before and after demand, default and judgement. This is the annual percentage rate on the charge account. This interest is added to the charge account and forms part of the amount due. This interest will bear interest on your next monthly statement (monthly compounding) if the amount due on the statement is not paid in full on or before the due date.
(5) Payments will be applied by the Co-op in the following order: previously billed interest and purchases, interest and purchases shown on current statement, interest and purchases to be billed.
(6) You agree you are liable for the entire outstanding balance of your accounts despite any variation of interest terms by the Co-op.
(7) In addition to the amounts otherwise payable under this agreement, you agree to pay the Co-op its charge for each cheque received by the Co-op from you that is subsequently dishonoured.
(8) Payments must be made only by cash, cheque, debit card, electronic banking, or any other arrangement authorized by the Co-op.

5. Default
(1) You will be in default if any of the following occurs:
(a) you do not make a payment when due;
(b) a bankruptcy proceeding is filed by or against you or you are the subject of receivership or insolvency proceedings or any of your assets are seized;
(c) you have made a false or mis-leading representation on your Credit Application;
(d) you die;
(e) you breach any of your other agreements
in this agreement;
f) if the Co-op has reasonable cause to believe your ability to perform obligations under this agreement, including making timely payments, is impaired.
(2) Upon your default, the Co-op has the remedies in this arrangement and at law. The Co-op may immediately suspend or cancel your privilege to obtain credit. The outstanding balance in your accounts will become due and payable ten days from the date the Co-op’s written notice of the default or other event is sent to you.
(3) You agree to pay all reasonable expenses, costs and disbursements, including fees as between a solicitor and his or her own
client, which may be incurred by the Co-op in the enforcement of its rights under the agreement.
(4) You agree that taking of a judgement against you will not operate as a merger of your promise to pay, or affect the right of the Co-op to collect interest at the rates notified to you from time to time on any amounts owing to the Co-op under this agreement or on the judgement.

6. Cancellation. You may cancel this agreement at any time by written notice.

7. Amendments. The Co-op may amend the provisions of this agreement including the interest rate by giving written notice to you of the change. The Co-op will notify you in writing of the amendment, which may be by notice on your statement. The amendment will be effective 30 days, or such greater time period as may be required by applicable laws, after the date notice is given. Unless you cancel your credit accounts within that notice period, the amendment(s) will be binding on you.

8. Notices. Any notice required or permitted to be given to you under the terms of this agreement is sufficiently given if shown on your statement or if sent by prepaid first class mail to the latest address contained in the Co-op’s files. Unless otherwise provided in this agreement or by law, any notice so given will be considered to have been received by you on the 7th day after the date on which it was mailed. You agree to notify the Co-op promptly of any change of address. Notice to you or a co-applicant is considered notice to all.

9. Co-applicants
(1) Where a co-applicant signed the credit application with you, the terms of this agreement bind each of you and apply with whatever changes of grammar are necessary.
(2) Where there are co-applicants, you agree that your liability for all amounts payable under the terms of this agreement is joint and individual, which means you are liable for individually and together for all amounts charged to the accounts.

10. Miscellaneous
(1) If any part of this agreement is contrary to law or found inoperative by any court, that part is ineffective without invalidating the other parts of this agreement.
(2) This agreement will be governed by the laws of the Province in which the Co-op is situated.
(3) You acknowledge receipt of a copy of this agreement at the time of signing the General Credit Application and before the extension of any credit or the use of the account
I agree to the terms as outlined above*

* indicates a required field
Do you currently hold a Cornerstone Co-op Ownership Number?*
- Yes
- No
Cornerstone Co-op Ownership Number*
Please note that a Cornerstone Co-op Membership is required in order to apply for a Cardlock account. Please click here to apply for a membership online or stop in at one of our offices today to apply for membership, click here for office locations.

Business Name*
Type of Business*
- Corporation
- Partnership
- Sole Proprietorship
Your Name*
First Last
Your Signature*
Your Title*
Your Initials*
Your Address*
Street Address/Legal Land Description Address Line 2 or PO Box (if Applies) City Province Postal Code
Primary Contact Phone Number*
Fax Number
Email Address*
CARDLOCK STATEMENTS WILL BE EMAILED UNLESS OTHERWISE STATED

What kind of card are you applying for?*
- System-Wide (All Co-op Cardlocks)
- Local (Cornerstone Cardlocks Only)
How May Cards Would You Like?*
Maximum # Litre Fill To Confirmation
Request Unit Number*
- Yes
- No
Request Odometer Reading?*
- Yes
- No
Which products do you need access to?
Regular Gasoline
- Clear
- Dyed
Midgrade Gasoline
- Clear
- Dyed
Premium Gasoline
- Clear
- Dyed
Diesel
- Clear
- Dyed
- DEF
Restroom Access
- Allow Restroom Access

Dyed Fuel Permit(s) # *	Issuing Province *

Length of Time in Business (in Years)*
Accounts Payable Contact
First Last
Accounts Payable Phone Number
Social Insurance Number*
GST Number*
Birthdate*
MM slash DD slash YYYY

Employment (If self-employed, please state name of business)*

Employer	Phone	Address

Business Information - Personal or Corporate Guarantee may be required*

Officers, Partners or Owner’s Name	Title	Home Address	Birth Date (MM/DD/YY)

Do you have a Co-Applicant?*
- Yes
- No

Co-Applicant's Name*
First Last
Relationship to the Member*
Co-Applicant's Social Insurance Number*
Co-Applicant's Birthdate*
MM slash DD slash YYYY
Co-Applicant's Signature*

Owner's Credit Information
Name of Your Financial Institution*
Your Financial Institution Address*
Type of Credit Requested (check more than one if required)*
- Bulk Petroleum
- Cardlock
- Home Centre
- Propane Delivery
Credit Limited Requested (monthly) $*

Nearest Relatives Not Living With You*

Name Of Nearest Relative Not Living With You	Address	Phone Number

Retail Credit/Trade References*

Name of Credit/Trade Reference	Address	Phone

Examples: UFA, Rona, Retail Store Credit, etc.

SIGNING BY CORPORATE APPLICANT
Authorized Signature Name #2*
First Last
Authorized Title #2*
Authorized Signature #2*
Witness Signature
Signature of Witness*
Witness Name*
First Last

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When you click "Continue", it will take a minute or two to process your application. The primary applicant must sign the last page of the form and click submit on the next page to finalize the application. Failure to do so may prevent your application from being processed.

One last signature will be required on the next step to complete your application.
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Current Date

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Step 1 of 11 - Type of Application

Before you start the application process, please make sure of the following:

Before you start the application process, please make sure of the following:

SIGNING BY CORPORATE APPLICANT

Witness Signature

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