The Web Source Strapping and Fasteners Ltd.
#106 9706 188 Street, Surrey, B.C. V4N 3M2
Phone: (604) 888-4405
Fax: (604) 888-4108
CREDIT APPLICATION FORM Legal Name of Company: _________________________________________________________
Address: _______________________________________ City: ________________________
Province: __________ Postal Code: ______________
Telephone No. ____________________________ Fax No. ___________________________
President _______________________________
Accounts Payable Contact: _______________________________
P.S.T. Exemption # __________________________
Credit Amount Requested: $___________________ TERMS: Net 30 days
CREDIT REFERENCES Company: ___________________________________ Phone : _________________________
Address: ____________________________________ Fax: ____________________________
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Company: ___________________________________ Phone: _________________________Address: ____________________________________ Fax: ___________________________
Contact: ____________________________________
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Company: ___________________________________ Phone: ___________________________Address: ____________________________________ Fax: _____________________________
Contact: _____________________________________
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