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Credit Account Application

Approved customers can receive trade credit terms. Credit limits and terms depend on credit approval. Complete the application below. Fields marked * are required.

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Business Information

Legal business name *

Operating name

Business type *

Incorporation / registration no.

GST/HST or BN number

Years in business

Website

Street address *

City *

Province / state *

Postal code *

Country *

Phone *

Email *

Accounts Payable Contact

Name *

Email *

Phone

Purchasing Contact

Name

Phone

Credit Requested

Requested payment terms *

Requested credit limit (CAD) *

Expected monthly purchases (CAD)

Bank Reference

Please do not include bank account numbers on this form.

Bank *

Branch

Account manager name

Account manager phone

Trade Reference 1

Company *

Contact name *

Phone *

Trade Reference 2

Company

Contact name

Phone

Trade Reference 3

Company

Contact name

Phone

Authorization

Authorized signatory name *

Title *

Date *

Typed signature *

Supporting Documents (optional)

You may attach a void cheque or other supporting documents. Use one file per field.

Supporting document 1 (optional)

Supporting document 2 (optional)

Supporting document 3 (optional)

Accepted file types: PDF, JPG, JPEG, PNG, DOC, DOCX. Maximum combined file size: 8 MB per submission. For larger document sets, email sales@reliablesteel.ca.

Applications are reviewed and you will be contacted with the outcome.

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