Credit Application


Business Name  

Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Proprietorship

Partnership

Limited Company


Principals

NameTelephoneFaxEmail

Accounts Payable

NameTelephoneFaxEmail

Trade References:

Company:
Contact:
Address:
Telephone:
Company:
Contact:
Address:
Telephone:


Company:
Contact:
Address:
Telephone:
Company:
Contact:
Address:
Telephone:


We Bank at:

Bank Name:
Address:
Telephone:
Name:  
Date:  



PLEASE NOTE: OUR ACCOUNT PAYABLE TERMS ARE 15 DAYS