Credit Application - CALibration TEChnologies Ltd.

BUSINESS CONTACT INFORMATION
Full Name*
Position*
Date Business Commenced*
MM slash DD slash YYYY
Company Name*
How Long at Current Address*
Nature of Business*
Billing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Shipping Address (If different from billing address)
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Tax Number (Canada only)
Email*
Website
ACCOUNTS PAYABLE CONTACT
Name*
Phone*
Email*
PURCHASING CONTACT
Name*
Phone*
Email*
BANKING INFORMATION
Bank Name*
Contact*
Phone*
Account Number
BUSINESS/TRADE REFERENCES
Reference 1
Company Name*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Contact
Contact Email
Reference 2
Company Name
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Contact
Contact Email
Reference 3
Company Name
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Contact
Contact Email
AGREEMENT
All invoices are to be paid 30 days from the date of the invoice.

By submitting this application, you authorize Calibration Technologies Ltd to make inquiries into the banking and business/trade references that you have supplied.

Upon approval, we will send you a document which needs to be signed by someone in your orgnization with signing authority.

BUSINESS CONTACT INFORMATION