credit application form

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CREDIT APPLICATION FORM

Name

Date

Address

A/P Contact A/P Phone No.

Commencement of Business

Type of Firm Company Officers

HST Registration No

Proprietorship

Partnership

Corporation

1 2

Trade Reference 1 Name

Telephone

Address Trade Reference 2 Name

Telephone

Address Trade Reference 3 Name

Telephone

Address Bank Reference Name Address

Telephone Contact

Our Terms of Payment are net thirty (30) days. By signing below, you agree to abide by these terms. A Service Charge of 2% Per Month (24% Annum) may be assessed on Past Due Amounts.

Signature

Title

243 Bering Avenue, Toronto ON - 416.236.1884 - JJDOWNS.COM