CREDIT APPLICATION

 

COMPANY INFORMATION    
     
COMPANY NAME
E-MAIL
ADDRESS

 CITY
  
PROVINCE / STATE
 POSTAL/ZIP CODE
 COUNTRY
  
TYPE OF BUSINESS
 YEARS IN BUSINESS
  
A/P CONTACT
 PHONE
 FAX
     
BANK INFORMATION    
     
NAME OF BANK
ADDRESS
 CITY
  
PROVINCE / STATE
POSTAL/ZIP CODE
COUNTRY
 
CONTACT
 PHONE
ACCOUNT NO.
     
TRADE REFERENCES    
     
1. COMPANY NAME
ADDRESS
 CITY
  
PROVINCE / STATE
 POSTAL/ZIP CODE
 COUNTRY
  		 
CONTACT
PHONE
FAX
     
2.COMPANY NAME
ADDRESS
 CITY
 
PROVINCE / STATE
POSTAL/ZIP CODE
COUNTRY
 
CONTACT
PHONE
 FAX
     

I HEREBY AUTHORIZE STRAITLINE TRANSPORTATION SYSTEMS INC. TO CONDUCT A CREDIT INVESTIGATION, AS APPLICABLE BY LAW, IF THEY SO DESIRE, AND AGREE TO PAY THE ACCOUNT, IF APPROVED, IN ACCORDANCE WITH STRAITLINE TRANSPORTATION SYSTEMS INC. TERMS OF CREDIT.
     
CREDIT REQUESTED BY:
TITLE:
 DATE:

 

 

 

 

6-14845 YONGE STREET, SUITE #345, AURORA, ONTARIO, L4G 648

PHONE (905) 726-9232 FAX (905) 726-9230