Billing Information

Billing Information

This page is designed to help you update your billing and contact information with Podolinsky Equipment.
Keeping your account details current ensures accurate billing, timely communication, and uninterrupted service. If any of your contact or billing information has changed, please take a moment to update it using the form below.
If you have any questions or need assistance, our team is here to help.

Accepted Payment Options:

1. Cheque – mailed to 6057 Petrolia Line, Petrolia, ON N0N 1R0
2. Debit/Credit Card
3. Cash
4. E-Transfer to accounts@podolinsky.com
5. Online Banking – search us as a payee and use your 5-digit customer #
For any billing related questions, please contact accounts@podolinsky.com.

Customer Information Form

~~THIS IS NOT AN APPLICATION FOR CREDIT~~

To apply for a charge account, please visit John Deere Financial at https://www.deere.ca/en/finance/financing/application/multi-use-account/

Asterisk indicates Required Field*

Your Contact Information

First Name *

Middle Name

Last Name *

Numbered Company (if applicable) *

Phone *

Fax Number*

Email *

John Deere Multi-Use Charge Account#

Mailing Address Address *

City *

Province*

Postal Code *

Accounting Contact

Name *

Phone *

Email Address *

Fax Number*

Authorized Purchasers

Please list names of those allowed to purchase on your behalf:

Contact 1

Name *

Phone *

Email Address *

Position or Relationship*

Contact 2

Name *

Phone *

Email Address *

Position or Relationship*

Contact 3

Name *

Phone *

Email Address *

Position or Relationship*

Contact 4

Name *

Phone *

Email Address *

Position or Relationship*

Contact 5

Name *

Phone *

Email Address *

Position or Relationship*

Contact 6

Name *

Phone *

Email Address *

Position or Relationship*

Contact 7

Name *

Phone *

Email Address *

Position or Relationship*

Shipping Details

Address (if different than mailing address)

Name *

Phone *

Full Name (acts as signature)

Date Signed

I certify that the information provided is accurate and I agree to the therms above.

Customer Information Form

Your Contact Information

Accounting Contact

Authorized Purchasers

Shipping Details

Podolinsky
Equipment Ltd.

Petrolia Location

Glencoe Location

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