Corporate Credit Application Business InformationBusiness Legal Name*Trade Name (doing business as)*Type of Operation*ProprietorshipPartnershipIncorporatedType of Business*Business Address* Street Address City Province Select ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Business Phone*Business Website URL Business Email Address* A/P ContactA/P Contact Name* First Last A/P Contact Phone*A/P Contact Email Address* Head OfficeHead Office Address* Same as business address Street Address City Province Select ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code BillingBilling Address* Same as business address Street Address City Province Select ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code P.O. Required*YesNoEmail Statements/Invoices?*YesNoStatements/Invoice Email Address* Bank ReferenceBank Name*Brank Branch #*Bank Address* Street Address City Province Select ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Trade ReferencesTrade Reference #1 Name* First Last Trade Reference #1 Phone*Trade Reference #1 Email Address Trade Reference #2 Name First Last Trade Reference #2 PhoneTrade Reference #2 Email CreditCredit Limit Required ($)*Payment Options*EFTChequeCredit CardTerms*15 Days30 DaysAuthorizationYou must agree to the following to submit your application* You confirm that the information you have given us in respect of this application is true and complete, and you authorize us to rely on and use this information in order to confirm your identity and evaluate your credit worthiness, in relation to the financing contract being entered into. In particular, you agree that we, our affiliates and any third parties acting for us or on our behalf, may obtain a credit report or other credit information from any credit reporting agency, credit bureau or credit grantor, and may hold, use, exchange and disclose such information for the purposes identified above. Jack & Joyce Karn CollectionFeaturing More Than 10,000 Items at The Dowler-Karn Museum in St Thomas. Learn More In the CommunitySupporting Local Events & Communities Across Southwestern Ontario Learn More