Credit Application

Arctic_600x480

Arctic Traveler (Canada) Ltd.

1416 Graham’s Lane,

Burlington, 
Ontario, L7S 1W3

PH: 905-637-3468   FAX: 905-637-3363


accountspayable@atc.ca

CREDIT APPLICATION 

 

COMPANY NAME: _____________________________________________________________

ADDRESS:   __________________________________________________________________

  __________________________________________________________________________

SHIPPING ADDRESS:   __________________________________________________________________

  __________________________________________________________________________

 

TEL #  _________________________ FAX : __________________________HST: ________________

 

YEARS    BUSINESS TYPE:

IN BUSINESS: __________ CORPORATION_____   ( )  PARTNER   ( )    PROPRIETOR  ( )

 

NAME OF OWNER:  ______________________ ACCOUNTS PAYABLE: _________________

 

SHIPPING METHOD/ACCOUNT #: _________________________________________________

STATEMENT:   YES ____ NO ____  (IF YES STATEMENT WILL BE EMAILED ONLY)

 

EMAIL ADDRESS FOR INVOICES/STATEMENTS: ___________________________________

 

Payment Preference:  Arctic Traveler accepts:  

1/  Direct Deposit Payments (EFT)  _______

2/  Cheque ________   

3/  On-Line Banking _______

 4/   Credit Card __________ (at point of sale only) We do not take AMEX

 

 

CREDIT INFORMATION:

SUPPLIERS NAME: _____________________________________________________________

TEL #:   ____________________________ FAX #:   _________________________

EMAIL:________________________________________________________

 

SUPPLIERS NAME: _____________________________________________________________

TEL #:   ____________________________ FAX #:   _________________________

EMAIL:________________________________________________________

 

SUPPLIERS NAME: _____________________________________________________________

TEL #:   ____________________________ FAX #:   _________________________

EMAIL:________________________________________________________

 

 

THE CLIENT ACKNOWLEDGES THAT LIABILITY IS NOT LIMITED TO THE CORPORATE ENTITY AND THAT IN THE EVENT OF DEFAULT OF PAYMENT THE UNDERSIGNED INDIVIDUAL SHALL BE A GUARANTOR AND SURETY FOR FULL PAYMENT OF THE OUTSTANDING ACCOUNT.

 

_________________________   __________________________ ______________________

SIGNATURE    TITLE   DATE