Credit Application Form-For Business
By Get It Picked Ltd-Your On-Demand Delivery Partner.
Business Details
Legal Business Name
*
Is the commercial name different from the legal name?
*
Yes
No
Type of Business
*
Sole Proprietorship
Partnership
LLC
Corporation
Business Number (Identification)
*
GST
*
Parent Company Name (if applicable)
*
Business Phone Number
*
Company Website
Business Email Address
*
Contact Person
Sender or Operations Manager
Authorized Person
*
First Name
Last Name
Title
*
Phone Number
Please enter a valid phone number.
Extension
INVOICING & LIMIT
Estimated Monthly Purchases $(Cad)/ Credit Limit Requested
*
Expected Deliveries Per Month
*
Invoicing
Same Time- Order directly from Business Card
Weekly
Biweekly-
Monthly-If Monthly orders exceeds 15 Orders. Only On Approval.
Do you have any another existing accounts with our Company?
*
Yes
No
Business Activity
*
EXT for Account Payable Department
*
E-mail address to receive invoice:
Business Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the shipping address the same as the billing address?
Yes
No
Address- if Shipping Address is different from Billing Address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please verify that you are human
*
Submit
Should be Empty: