https://mtd1.mtdirect.ca

Credit Application

Business Information:

Name of Business:
Billing Address:
City:
Province:
Postal Code:
Shipping Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Years in Business:
Type of Business:

Ownership Information:

Proprietorship:
Partnership:
Limited Company:
Name of proprietor or directors of company:
Credit Limit Requested:
Accounts Payable Manager:

Banking References:

Banking Institution:
Branch Address:
Telephone:

Credit References:

	Name:	Fax Number:	Telephone:
Reference 1:
Reference 2:
Reference 3:
Reference 4:

E-mailed Invoices:

Would you prefer to receive invoices by e-mail?
If yes, e-mail address:

Acceptance of Terms:

Terms: It is hereby agreed that invoices are to be paid on a net 21 days basis. All overdue accounts are subject to a 2% interest charge per month (24% / year)

Name of Applicant:	Title:	Date:

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