SST Trucking - WCF Credit Application

WCF Logistics Canada Ltd - Credit For Application

Company's Legal Name:*

First NameLast Name

Company's Trading Name:*

First NameLast Name

Physical Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Area CodePhone Number

Fax #

Billing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:

Area CodePhone Number

Fax #

Do you require a P.O or REF # to process payment?*

YesNo

Payment Information

Account Payable Person

First NameLast Name

Phone Number

Area CodePhone Number

Fax #

Email Address

example@example.com

Organization Information

Type of Organization

ProprietorshipPartnershipCorporationOther

Type of Business

How Long

Name of Principles

Name of Principle 1

Title of Principle 1

Name of Principle 2

Title of Principle 2

Banking Information

Name of Bank

Province/State

City/Town

Phone Number

Area CodePhone Number

Major Trade References

Please complete this portion in full in order for us to process your credit request. We require a minimum of 3 trade references.

The following companies will not provide us with a credit reference so please do not list. All Major Credit Card Companies, Banks, Fuel Companies.

Supplier 1 Name

Supplier 1 Phone Number

Supplier 1 Fax #

Supplier 1 Contact

Supplier 2 Name

Supplier 2 Phone

Supplier 2 Fax #

Supplier 2 Contact

Supplier 3 Name

Supplier 3 Phone Number

Supplier 3 Fax #

Supplier 3 Contact

Signature

THE UNDERSIGNED FURTHER DECLARES THAT THE STATEMENTS MADE HEREIN ARE TO THE BEST OF MY KNOWLEDGE TRUE AND CORRECT. To be signed by owner, partner, or authorized individual designated by the applicant.

Name

First NameLast Name

Company Legal Name

Consent to SST Trucking Ltd., or any person acting on behalf of SST Trucking Ltd making any inquiries of any such person, firms or Corporations as it deems necessary to reach a decision on this application.