Credit Application

Company Details:
Company Name:
Street Address:
City: Postal Code:
Business Phone: Fax:
President/Owner: Type of Business:
Credit Information:
Bank: Address:
Length in Business: # of Employees:
I.R.S. # (US customers): P.S.T. # (Cdn. customers):
Canadian Trade References:
  Name: Address: Phone #: Fax #:
1)
2)
3)
US Trade References:
  Name: Address: Phone #: Fax #:
1)
2)
3)

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