Credit Application | Astro Towing

Credit Application Form

Business Information

Business Name

Mailing Address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

Phone

Fax Number

Nature of Business

Type of Business

Annual Sales

Number of Employees

Number of Trips Required (annually) & Expected Frequency

GST Number

Preferred Method of Payment

Other Method of Payment

Limit Requested

Purchase Order Required/Issued

Yes

*Note, invoices are set to send via email, please request alternate arrangements if necessary.

Contact Information

Key Contact Persons:

First Name

Last Name

Phone

Title

First Name

Last Name

Phone

Title

Principal(s) / Officer(s) / - (Name / Title / % Ownership):

First Name

Last Name

First Name

Last Name

First Name

Last Name

Title

Ownership %

References

Bank Reference:

Bank Name

Branch Phone Number

Account No

Branch Address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

Credit References:

Business Name

Phone

Business Name

Phone

Agreement

By selecting this box you agree with the terms and conditions listed below; and that you have answered all the questions above to the best of your knowledge; and that Astro Towing (1988) Ltd. will use this information to process your credit application.

Full Name for Agreement

1. Terms are net 30 days subject to credit approval. Overdue accounts are subject to interest charges of 2% per month (24% per annum). After 90 days, accounts may be placed for collections and reported to credit bureaus.

2. Invoicing discrepancies must be reported in writing within 72 hours after receipt.

3. I authorize any of the above credit references to release credit information to Astro Towing (1988) Ltd.

4. Astro Towing (1988) Ltd. shall not be liable for loss, damage, or delay caused by acts of God, terrorism, public authorities, strikes, labor disputes, weather, mechanical failures, or civil commotions