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Application for Credit
Registered Company Name Date of Incorporation
Phone Number Fax Number
Mailing Address
Mailing Address
City
Province
Postal Code
Shipping Address
Shipping Address
City
Province
Postal Code
Nature of Business
Industry
Aerospace (10..)
Film Industry (29..)
Mining (20..)
Agriculture/Colony (19..)
Food (30..)
Oil & Gas (21..)
Automotive (36..)
Forestry (22..)
Plastics/Injection Mold (11..)
Communication/Technology (15..)
Government (17..)
Steel Service Centre (14..)
Construction/Woodworking (27..)
Home Hobby or Business (25..)
Tool & Die (13..)
Consulting (28..)
Import/Export (32..)
Tool Blade Sharpening (34..)
Education (18..)
Job Shop (31..)
Transportation (24..)
Electronics (16..)
Manufacturing/Production Shop (33..)
Welding (35..)
Fabricator (12..)
Marine (23..)
Other

 

Type
With CNC Machines (..70)
Without CNC Machines (..60)
Research & Development (..90)
Account for resale? Provincial Tax No.
Name of Bank Telephone
Bank Address Contact Name
Trade References
  References Telephone No. Fax No.
1.
2.
3.
Amount of Credit Requested
Our Credit Terms of Sale
 Net 30 Days
We will accept original invoices and statements...
By Fax at
By Email at
By Mail
Do you require a purchase order number? Yes No
In consideration of the agreement to extend credit in accordance with this application, (1) the authorized undersigned agrees to pay interest at a rate of 1.5% per month (18% per annum) on overdue accounts. (2) In the event of default, customer agrees to pay attorney and or collection agency fees.
Signature
Name in Print
Title
For Office Use Only
Territory Manager Price Schedule Credit Limit
Branch Approved By Date