Billing Information

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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*

    Zip Code *

    Accounting Contact

    Name *

    Phone *

    Email Address *

    Fax Number*

    Accounting Contact

    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