Credit Application - Flying Fresh Air Freight

Unit #150-4840 Miller Road, Richmond B.C. Canada V7B 1K7

Phone: 604-233-1377 Fax: 604-233-1399 email: ops@flyingfresh.ca

ACCOUNT APPLICATION

(Please answer all, questions. When no response, please write “none)

FIRM NAME Telephone:

Street Address: Fax #

City: E-Mail:

Full name of owner or owners, list home address and postal code

Please check one: Corporate Partnership Sole Proprietor

GST Number Credit amount requested

Nature of business

Years in Business

References

Please list at least Three trade reference with whom you currently have an account

Firm Name Address Account # Telephone # Fax #_

___________________________________________________________________________________________

Bank Name Account # Contact Name

Street Address City Province Tel #

Applicant’s signature attest financial responsibility, ability and willingness to pay our invoices in accordance with the terms granted.

The above information as well as any information provided with this application is for the purpose of obtaining deferred payment account status and is warranted to be true. We hereby authorize Flying Fresh Air Freight to investigate the references listed pertaining to credit and financial responsibility.

Signature Name & Title

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