Application For Credit Date: Registered Business Name: Trade Name: Street Address City: Province: P.C.: Phone #: Fax #: landlord Reference: Are the Business Premises? Rented Owned Landlords Name: Mailing Address: City: Province: P.C.: Phone #: Fax #: Business Type: Limited Company Partnership Sole Proprietor G.S.T. #: In Business Since: Principal's Reference Principal's Name: Principal's Title: Principal's Address: Principal's Phone #: Principal's Name: Principal's Title: Principal's Address: Principal's Phone #: Principal's Name: Principal's Title: Principal's Address: Principal's Phone #: Bank Reference Bank Name: Bank/Branch: Bank Phone #: Account Number: Account Managers Name: Accounts Payable Contact: Phone #: Purchase Orders Required? Yes No Amount of Credit Required: Credit References Reference Name: Reference Address: Reference Phone #: Reference Name: Reference Address: Reference Phone #: Reference Name: Reference Address: Reference Phone #: All accounts are subject to prior credit approval. All accounts are due and payable by the 20th day of the month following the invoice date. Any and all overdue balances are subject to interest charges at the rate of 2% per month (24% per annum) The applicant agrees to pay any and all fees incurred by Big Rig Towing & Recovery Ltd. In collection of the indebtedness of the applicant, including legal fees, disbursements, commissions and any other expenses. The applicant agrees, upon request, to provide Big Rig Towing with an up to date financial statement. I/we understand and comply with Big Rig Towing and Recovery Ltd.’s terms and conditions as stated, and give my/our permission for a full credit investigation of my/our company. I/we certify the above information to be true and correct. By clicking the check box below the applicant’s attests financial responsibility, ability and willingness to pay our invoices in accordance with the above terms and acknowledges those terms. Applicant’s attests financial responsibility I accept   We accept Visa, Master Card, Amex, ComCheque, Etc.

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