Highrise Window Technologies Inc 131 Caldari Road Credit Limit Requested Concord L4K 3Z9 by kyi16761

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New Client Credit Application document sample

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									Highrise Window Technologies Inc.
131 Caldari Road                                                                Credit Limit Requested
Concord
          L4K 3Z9                                                               Approved by:
                                                                                         (to be completed by Crossborder Solutions Inc.)

                                   55 Harriett Street, Belleville, ON K8P 1V6
                                   Tel: 613-968-1428    Fax: 613-968-1037

                                                Commercial Account Application

Full Legal Name:

Street Address:




City/Province/Postal Code:

Mailing Address:

City/Prov/State:                                                                Postal Code

Telephone No:                                                                   Facsimile:

Email Address:                                                                  BN/GST No:
                                                                                                                        Required

Purchasing Contact:                                                             A/P Contact:

Date Business Started:                                                          Purchase Order Required:
                                                                                                               Yes                  No
                                                              Credit Information
Name of Bank:                                                                   Manager:
Street Address:                                                                 City/Prov/State:
Account No:                                                                     Postal/Zip Code:


                                                               Trade References


             Name                              City/Province                           Telephone                             Facsimile




Special Instructions:
Name (Please Print):




Terms: Net 14 days                     Signature:                      X

                                                                                Date
                                                                                                     mm        dd       yyyy
   --------------------------------------------------------------------------------------------------------------------------------------------
               Note: Please return by facsimile (613) 968-1037 or email (clientcare@crossborder.net)

								
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