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Credit Application FORM

To order any of our products, please complete the order form below to the best of your ability. If we need additional information in regards to your order, we'll contact you using the contact information entered on this order form.

About Your Company

Company name  Address
Contact Person Title
City State/Province/Country
Zip/Postal Code E-Mail Address
Phone No. Fax No.
Ship To (if Deferent from Above) Full Address
Name of Owner, or Officer Title

About Your Bank

Bank Name


City-State/Province Zip/Postal Code
Phone No. Fax No.
Account No. Contact Person

Trade References

Company Name (1) Contact Person (1)
Phone No. (1) Fax No. (1)
Company Name (2) Contact Person (2)
Phone No. (2) Fax No. (2)
Company Name (3) Contact Person (3)
Phone No. (3) Fax No. (3)
Please choose one Sales Tax (Ontario Businesses Only)

                                        Sole Proprietorship

 Tax No.

Filled By Date

Special Instruction

Note :

  • FOB: Our plant, Mississauga, Ontario, Canada

  • Claims for damage sustained in transit should be made promptly to your local carrier.

  • Domestic Terms: Net 30 Days on Approved Credit.

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