Credit application

We Moved our Surrey location to 9638 188th STREET, Surrey (604-581-5251)

HARRIGAN RENTALS CREDIT APPLICATION

Credit-Application-Harrigan-Rentals Download

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Date (YYYY-MM-DD)

Legal Name of Company / Applicant

DBA

Adress

Street Address

City

Postal Code

Province

Phone Number

Fax

Mobile / Celluar

Contacts

Buyer name

First name

Last name

Phone

First name

Last name

Phone

First name

Last name

Phone

A/P Contact

First name

Last name

Phone

A/P Email

Application Information

Type of Business

Principal Name

First name

Last name

Title

Home Address

Home Address

Home Phone Number

Principal Name

First name

Last name

Title

Home Address

Home Address

Home Phone Number

Principal Name

First name

Last name

Title

Home Address

Home Address

Home Phone Number

Incorporation Date (YYYY-MM-DD)

Business Number

Annual Sales

Years in Business

GST #

PST #

# of Employees

Land Lord Name

Address

Phone

Fax

Amount of Credit Requested

Bank Information

Name of Bank

Bank Adress

Bank Phone

Bank Fax

Name on Bank Account

Bank Account #

Site Information

If this is for more than one site, please email or fax additional site addresses, telephone numbers and fax numbers separately.

Site Address

Site Phone

Site Fax

Site Information

Supplier Name

Phone

Fax

Supplier Name

Phone

Fax

Supplier Name

Phone

Fax

Credit Policy

Business Name

Principal info

First name

Last name

Title

Date (YYYY-MM-DD)

First name

Last name

Title

Date (YYYY-MM-DD)

RENTAL AGREEMENT

Date (YYYY-MM-DD)

Customer Signing Officers