Credit Application

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This field is for validation purposes and should be left unchanged.

Legal Name of Company*

Company Address*

Street Address City Province Postal Code

Mailing Address

Street Address City Province Postal Code

*If different from Company Address.

Phone*

Fax

GST #*

Accounts Payable Info

Name*

First Last

Title*

Email*

Phone*

Do You Require a PO

Yes

Invoices To Be

Mailed

Emailed

Other Requirements

Signature

Location

Limit Requested

Details of Organization

Organization Type*

Sole Proprietorship

Partnership

Corporation

Other

Date Established*

Nature of Business

Names & Titles of Principle Officers/Owners

Name*

First Last

Title*

Name

First Last

Title

Banking Details

Name of Bank*

Bank Address

Street Address City State / Province / Region ZIP / Postal Code Country

Contact Name*

First Last

Phone*

Trade References

We no longer accept fuel references

Name*

First Last

Address

Street Address City Province Postal Code

Phone*

Fax

Note - Not including fax numbers may delay processing of application

By signing this form you are authorizing All Choice Rentals, or a representative of, to do a check with trade references and or bank/financial institution not just at the time of setting up the account but from time to time if All Choice Rentals deems it necessary to do so. Further, upon signing this document you certify that the information being provided is true and correct and that you acknowledge it will be used to make a credit decision. Further, you are agreeing to our terms of payment in NET 30 days.

Authorized Name

First Last

Position

Signature

Date