Credit Application

Please complete the entire form.
Organization Name:
Your E-mail:
Street Address:
City:
Province:		Postal Code:
Telephone:		Fax:
Payables Contact:
Bank Information
Bank Name:		Branch:
Contact Name:		Phone Number:
GST #		PST #
Credit References (list 3 steel suppliers)
Organization Name:
Telephone:		Fax:
Organization Name:
Telephone:		Fax:
Organization Name:
Telephone:		Fax:

Approx. Purchases/year	$	Requested Monthly Credit	$
Applicants Name		Title

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