8:30AM to 8:00PM
Monday to Friday
Tel: 604.876.1737
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Online Credit Application:
The following credit application will be held in strict confidentiality. The completed application is required before we can supply you on an open account basis.
*
Owner / Company Name:
corporation
partnership
sole proprietor
*
Address:
*
City:
*
Prov./States:
*
Postal Code:
*
Phone:
Fax:
*
Email:
Mailing Address:(if different from above.)
City:
Prov./States:
Postal Code:
*
Number of years in Business:
*
PST#:
*
GST#:
Bank Reference:
*
Bank Name:
*
Address:
*
Contact Person:
*
Account Number:
Phone:
Fax:
Three Trade References:
*
1.
*
Phone:
Fax:
*
2.
*
Phone:
Fax:
*
3.
*
Phone:
Fax:
Two Personal References:
*
1.
*
Phone:
Fax:
*
2.
*
Phone:
Fax:
*
Credit Card #:
*
Expiry Date:
M/C
Visa
Amex
*
Expected Monthly Volume:
Please allow 2 weeks for processing. Thank you.
