Please Fill in all Information for Credit Application to be Approved. Application approval takes up to 2 weeks. Approved Terms are Net 30 Days.
E-mail or Print out and Fax Credit Application to:
Local: 905-428-0109
Toll Free: 1-866-846-8725
Please provide the Billing information:
Name Title Company Name ~~~~~~ Address Address (cont.) City Province Postal Code Country ***Canada ONLY*** Work Phone FAX E-mail URL
Please provide the Shipping Address If Different from Billing information:
Please provide the following Accounts Payable information:
Name Work Phone FAX E-mail
Please provide the following Banking information:
Name Title Work Phone FAX E-mail
Please provide the following 3 Credit References:
Credit Reference #1 Contact Company Name Province Postal Code Country CANADA Work Phone FAX URL E-mail Credit Reference #2 Contact Company Name Province Postal Code Country CANADA Work Phone FAX URL E-mail Credit Reference #3 Contact Company Name Province Postal Code Country CANADA Work Phone FAX URL E-mail
Business Registration
Incorporated Partnership Enterpreneur Non-Registered
Enter your Amount of Credit Asking for (Canadian $ Only).
What is the Nature of your Business?
Do you Require Provincial Sales Tax Exemption? (P.S.T.)
Yes No