CREDIT APPLICATION

_______________________________________________________________________________
LEGAL BUSINESS NAME CARRYING ON BUSINESS AS

______________________________________|__________________|______________________|_________________
ADDRESS                                                                   CITY                         PROVINCE                          POSTAL CODE

______________________________|________________________________|___________________________________
TELEPHONE NUMBER                         FAX NUMBER                                      E-MAIL ADDRESS

_____________________|_____________________| PROPRIETORSHIP CORPORATION PARTNERSHIP
TYPE OF BUSINESS YEARS IN BUSINESS                                  PLEASE CHECK ONE

__________________________________________________________________________________________________
PRINCIPALS FULL NAME AND TITLE

___________________________________|_______________________________________________|_________________
BANK BRANCH ADDRESS TELEPHONE

Contact at Bank_____________________________________________________________________

TRADE REFERENCES

______________________________________________________________________________________________________
NAME ADDRESS PHONE
_______________________________________________________________________________________________________
NAME ADDRESS PHONE
_______________________________________________________________________________________________________
NAME ADDRESS PHONE
CREDIT LIMIT REQUIRED $ __________________
Number of Cards Required __________________ (Please complete the attached form for each card requested)
Gratuities: Please check one
______ 10% Of Trip
______ 15% Of Trip
______ 20% Of Trip
______ 25% Of Trip
NOTE: Administration fee of Fifteen ($15.00) Dollars per credit card per 3 year Term.
Weekly billing Sunday through Saturday. Statements and invoices with copies of charges attached.

TERMS: NET 30 DAYS
A late payment charge of 2 % per month (24% per year) applies to the total overdue amount.

_______________________________________________________________________________________________________
NAME OF CORPORATION

___________________________________________________|____________________________________________________
AUTHORIZED SIGNATURE PLEASE PRINT NAME CLEARLY

TITLE

COMPANY CONTACT PERSON _______________________________________________________________

Please complete the following information for each person requiring a card.

Company name _____________________________________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________

Individuals full name _______________________________________________
Home Address ________________________________________________
Home phone number ______________
Cell phone number ______________