Manitoulin Group of Companies

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	Freight Forwarding
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CREDIT APPLICATION

Business Information

Name of Business:

Billing Address:

City:

Province:

Postal Code:

Shipping Address:

City:

Province:

Postal Code:

Telephone:

Fax:

Years in Business:

Type of Business:

Ownership Information

Proprietorship:

Partnership:

Limited Company:

Name of proprietor or directors of company:

Credit Limit Requested:

Accounts Payable Manager:

Banking References

Banking Institution:

Branch Address:

Telephone:

Credit References

Name:	Fax Number:	Telephone:

E-mailed Invoices

Would you prefer to receive invoices by e-mail? Yes No
If yes, e-mail address:

Acceptance of Terms

Terms: It is hereby agreed that invoices are to be paid on a net 21 days basis. All overdue accounts are subject to a 2% interest charge per month (24% / year)

Name of Applicant	Title	Date

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