New & Used
Electrical Wholesale
from the obsolete to the obvious!
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Contact Us
Ph: 403-236-9600 Toll Free: 1-888-502-4842
Email
Credit Application
Company Name:
Mailing Address:
Shipping Address:
if different than Mailing Address
Phone:
(format: 999-999-9999)
Fax:
(format: 999-999-9999)
Company Industry:
Select an Option
Electrical Contractors
Colony
Electrical Dealer
Manufacturing
Oil and Gas/Compressor
Concrete and/or Aggregate
Fab/Welding Shop
General Contractor
Government
Property Management
Other
# of Employees:
Select an Option
1 to 10
11 to 25
26 to 50
51 to 100
over 100
Years in Business:
Company Bank & Address:
PO# Required:
Select an Option
Yes
No
Principal Owners/Contacts
(including Accounts Payable contact):
PH:
F:
PH:
F:
PH:
F:
Trade References:
PH:
F:
PH:
F:
PH:
F:
Terms and Conditions:
All invoices are net 30 days. Late payments are subject to a 2% interest penalty/month. There is a $20.00 penalty for any N.S.F. cheques. Please note that all information collected is for the sole purpose of checking credit history. We do not sell, distribute or otherwise disclose information received on credit account applications.
I,
, provide authorization for the above listed trade references to provide credit history information to Civic Recycling & Equipment Ltd. on my behalf. I have read and agree to comply with the noted terms and conditions of this credit account.
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