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Business Account Application
All fields are required
    Company Name:
Telephone #:
Mailing Address:

 

Fax #:
Email Address
Accounts Payable Contact:
Telephone #:
Type of Business:

 Corporation:
Sole Owner:
Partnership:
Other:
If other
please specify:
Parent Company:
(If applicable)
Bank Information - Name:
Account#:
Credit References:
(Three Companies you
have established
credit with)
Telephone #:
Approximate amount of monthly credit required: $

 

TO: Gates America Freight Forwarders Inc.
I hereby apply for a net 20 day account with Gates America Freight Forwarders Inc..
I understand that the terms of payment on this account, if granted, are net 20 days and I
agree to pay this account on this understanding. I warrant and confirm that the information
given herein is true and correct, and I understand that this information is being used to
determine my credit eligibility. Gates America Freight Forwarders Inc. is furthermore
authorized to obtain and disclose, in response to direct inquiries from any other lender or
credit bureau or institution, such information on my account as Gates America Freight
Forwarders Inc. considers appropriate.
         

A printed copy of this document, dated and signed, is
necessary to complete this application.
Mail or fax to: Gates America Freight Forwarding Inc.
2139 Wyecroft Road.
Oakville, Ontario
Canada
L6L - 5L7
Fax: 905-847-5509