Credit Application

Submit a Credit Application

PLEASE NOTE:
First order is COD, so please do not send this application with your first order.
For subsequent orders, credit applications will be processed for companies that:
   • have an order of $100 or more in house (or have one accompanying this application)
   • have been in business for one year or longer
   • have filled in ALL the requested information

Some web browsers may not process this form correctly.
If you have difficulty submitting this form, please print it out
and mail, email or fax it to us.

Sections in GREEN must be completed
in order to submit a request.


Company

Address

City

Province/State

Postal Code/Zip

Phone

Fax

Email

Date of incorporation or date company started

GST No.

Prov. Tax No.

Bank Name

Bank Branch and address

Your company's main product or service

To help us serve you better, please tell us how you heard about us:

Frasers.com

Trade Magazine    (name)

Internet Search Engine    (name)

Other    


Trade References (min. 3 required)

1) Company Name

Address

City

Prov./State

P.Code/Zip

Phone

Fax

Email

How long have you dealt with them?

2) Company Name

Address

City

Prov./State

P.Code/Zip

Phone

Fax

Email

How long have you dealt with them?

3) Company Name

Address

City

Prov./State

P.Code/Zip

Phone

Fax

Email

How long have you dealt with them?


VISA / Mastercard