CONFIDENTIAL CREDIT APPLICATION
Company name (trading):
Legally registered name or number:
Billing address:
City:
Postal Code:
e-mail address:
Telephone:
Fax:
Credit amount requested:
Year established:
Type of business:		Partnership or Proprietorship Corporation Subsidiary Other
Person to contact re: accounts payable:
Purchase order required:		Yes      No
Sales tax numbers:		GST number PST number  Exempt  Taxable
Bank References
Name of Bank		Contact
Branch address		City
Account number		Telephone
Supplier References (names of 3 suppliers with whom you have established credit)
Company name		Contact
How long	Telephone		Fax
Company name		Contact
How long	Telephone		Fax
Company name		Contact
How long	Telephone		Fax
Are you a member of a credit association?   Yes   No
If so, which one?

Our terms are net 30 days. 2% per month (24% per annum) interest charges will be added and payable on any outstanding balance over 30 days. All past due accounts will be forwarded to CREDITEL CANADA LIMITED who has the authority to proceed further on our behalf failing receipt of payment at our office. The applicant agrees to pay interest charges outlined above and any additional costs of collecting their account by a third party collector. The applicant hereby grants his/her constent for a Banker Business Report and/or investigation of credit information in connection with this application.

By submitting this form, I hereby make application for net 30 day open account privileges with Aditek Design and Printing on behalf of the named company on this application and agree to the above terms.