Direct Billing Credit Application Company References Invoicing Properties Terms Contact Information Company Operating As Year Started Credit Limit /property Address Billing Address(if different) Accounts Payable Contact Phone Email Please email invoices Principal Owners Name Title Name Title Company Credit Info Sheet Attachment Financial Bank Contact Phone Email I hereby authorize my bank to provide any necessary information required to support this application for Direct Billing Credit References (1 being a Hotel/Motel) Company 1 Contact Phone Email Company 2 Contact Phone Email Company 3 Contact Phone Email Charges Upon check-in, your guest will be required to leave a cash deposit or a valid credit card on file to cover any incidental charges if your company does not approve them on this application. Credit cards are to be entered online through www.PomeroyPortal.com. The company will be held responsible for any damages and smoking charges if the hotel is not able to collect from the guest. Important: Please provide a copy of your invoicing procedures with this application. If none is provided it will be assumed your billing address will be used to forward invoices for prompt payment. We require the following information on our invoices Division / Location Approval Contact PO / AFE / Rig # Employee Numbers Employee Names Comments We permit our guests to charge the following services Room & Taxes Only Meals* Alcoholic Beverages Long Distance PPV Movies Laundry/Dry Cleaning *Not all properties are equipped to provide complete restaurant facilities so guest meals may not be available. Government Accounts GST Exempt Exemption Letter on file Email Letter to: billing@pomeroylodging.com Properties Billing privileges will be granted to selected hotels below upon approval of this application: Element Four PointsGrande Prairie Pomeroy Hotel & Conference CentreHoliday Inn Express - Grande PrairieMotel 6 - Grande PrairieMount Kidd ManorPomeroy Hotel & Convention Centre Ft. St. JohnPomeroy Hotel Fort McMurrayPomeroy Inn & Suites - ChetwyndPomeroy Inn & Suites - Dawson CreekPomeroy Inn & Suites - Fort St. JohnPomeroy Inn and Suites - Prince GeorgePomeroy Inn and Suites - OldsPomeroy Inn and Suites VermilionRamada Inn - ClairmontWestin Calgary Payment Terms Your Cheque/EFT is to be issued listing all invoices/folios and must be paid in full net days as of billing date. EFT information on file Forward EFT Information to:billing@pomeroylodging.com Cancellation Terms If the pre-booked room is not going to be used, that room must be cancelled no later than the day of the reservation by calling the hotel. The hotel will supply you with a Cancellation Verification Number when a cancellation occurs. Please keep a copy of this number for your personal files. Terms of Credit I , understand that your company's terms are "NET 30 DAYS" from the date of invoice and that interest at a rate of 2% per month (24% per annum) will be charged on all outstanding amounts 30 days past due. Any and all accounts throughout our collection of properties will be suspended should balances be outstanding more than 90 days. Signature Title