Hi-Way 13 Transport -Credit Application

Credit Application

Please fill out our online credit application. If you wish to download our application and fax it to us click here.
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NAME IN FULL:
Trade Name	INDIVIDUAL PARTNERSHIP CORPORATION
Local Address:
City:
Province:
Postal Code:
Phone:
Fax:
Head Office Address if different than above
City:
Province:
Postal Code:
Phone:
Fax:
Principals/Owners:
Type of Business:
Date Company commenced Operations:
Name of Bank:
Address of Bank:
List one Transportation Company with whom you have established a credit account:
Trade Reference:
Phone:
Fax:
Trade Reference:
Phone:
Fax:
Trade Reference:
Phone:
Fax:
Approximate amount of Monthly Credit required:
E-Mail Address:
Please mail statements to Local Office Head Office
A/P contact :
Operations contact :
Other billing instructions :


Our Terms:Accounts are due 30 days from day of billing or 7 days from day of statement, whichever is earlier.
Signed:
Today's Date:

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