CREDIT APPLICATION

We welcome purchase orders and online accounts for companies upon approved credit.

To obtain credit approval, please download our PDF credit application and fill out the form below.

*If you directly download the Credit Application Form to your desktop, you should be able to Auto Fill in the blanks and then save the completed form to your desktop.

Once complete, please upload the signed application to the form directly below or email it to:

shawna@nwt-group.ca

Please allow approximately 5-7 business days for credit approval (on first order only).

Credit Application Form

Please fill out the following form.

Company name

Bill to Address

City

Province

Postal Code

Phone

Fax

Contact Person

Website

Type of Organization

Corporation

Partnership

Proprietorship

Owner ( Name/Telephone No/Email)

A/P Manager (Name/Phone/Email)

Purchaser (Name/Phone/Email)

Type of Business

Year Started

Do you pay P.S.T.?

Yes

P.S.T. Exempt #

G.S.T. #

Name of Bank

Bank Address (Street, City and Province)

Bank Phone No.

Bank Account

Trade Reference #1 - Company Name

Trade Reference #1 - Phone Number

Trade Reference #1 - Email or Fax Number

Trade Reference #1 - Address

Trade Reference #2 - Company Name

Trade Reference #2 - Phone Number

Trade Reference #2 - Email or Fax Number

Trade Reference #2 - Address

Trade Reference #3 - Company Name

Trade Reference #3 - Phone Number

Trade Reference #3 - Email or Fax Number

Trade Reference #3 - Address

Trade Reference #4 - Company Name

Trade Reference #4 - Phone Number

Trade Reference #4 - Email or Fax Number

Trade Reference #4 - Address

File Upload.

Please download both pages of the credit application form using the red button at the top of this page. Fill out the form completely, sign it, and upload the completed version.

Date

Year

Month

Day

Signature

Signature field is empty.

Initials

I declare that the info I’ve provided is accurate and complete.

credit application

Credit Application Form

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