Custom Courier

Online Credit Application Form

Company History

Number of years in business:

Current bank:

Street address:

City:

Province:

Postal code:

Contact person:

Phone number:

Fax:

Company References (list three suppliers)

Company 1

Company name:

Street address:

City:

Province:

Postal code:

Phone number:

Fax:

Company 2

Company name:

Street address:

City:

Province:

Postal code:

Phone number:

Fax:

Company 3

Company name:

Street address:

City:

Province:

Postal code:

Phone number:

Fax:

Terms: Payment due upon receipt of invoice. Past due accounts are subject to a service charge of 2% per month after 30 days. Custom Courier invoices are generated bi-monthly (on the 1st and 16th of the month).

Invoices and detailed reports can either be mailed or emailed to you. If you choose electronic email billing, you will not receive an invoice in the mail. Please ensure we are notified of any changes in email addresses to avoid any delays in receiving your invoices.

Please check here if you would like your invoices and detailed billing reports emailed to you.

Email address for e-billing:

Experience the Difference

Application for Credit

Online Credit Application Form

Company Information

Company History

Company References (list three suppliers)

Company 1

Company 2

Company 3

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