Small Business Credit Application Form

Business Application for Credit

Please complete all required fields
This application will be used to establish a credit account with ShipCanada Inc. 16715 Yonge Street #348 Newmarket, ON L3X1X4 Phone: 1-888-308-4872. Fax: 1-289-272-0829 Email accounting@shipcanada.ca
Company Name*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Fax Number
E-mail*
Credit Amount Required
Enter the amount of credit requested.
Number of years in business
Business Structure Type
Please select one

Credit References

Upload your own form or complete the "credit reference" fields
(If you have a pre-made credit form upload it here)

Browse Files

Cancelof
Reference 1: Company Name
Reference 1: Phone Number
E-mail
Reference 2: Company Name
Phone Number 2
Email Address 2
example@example.com
Reference 3: Company Name
Phone Number 3
Email Address 3
example@example.com

Agreement

(By checking these boxes you are agreeing to our terms - should you have any questions please contact us)
Agreement and Terms*

The undersigned hereby declares that the above statements are true in substance and in fact and is in the position to financially bind those parties involved to a contract for transportation. In connection with my/our application for credit, I/We hereby take notice that ShipCanada Inc. will have access to this application, which may contain personal and identifying information as defined in Canadian Privacy Legislation. ShipCanada Inc. will be using the subject application to obtain bank reference information, including account balances and other credit information. I/We hereby consent thereto and to the disclosure of such information to other credit grantors or consumer reporting agencies. Furthermore, I /We are agreeable to the credit grantor and its agents obtaining subsequent credit information throughout the duration of our business relationship.
Agreement and Terms*

By submitting this agreement the undersigned agree to our terms & conditions found online at: https://www.shipcanada.ca/terms-and-conditions.php
Agreement and Terms*

By submitting this credit application, you authorize us to make inquires into the banking and buisness references that you provided.
Digital Signature Name*

First NameLast Name
Digital Signature Date*

MonthDayYear
Should be Empty:

Business and Credit Info