Credit Application | Rolls Right

TransportationWarehouseCrossdocking

Service Inside greater Vancouver areaService Outside greater Vancouver area

If outside the Vancouver area, where?

Customs bond (if applicable)

PDF or image, up to 10 MB.

GST exemption number (if exempt)

GST exemption document (if exempt)

PDF or image, up to 10 MB.

Name of company bank

Bank address

Account number

Bank telephone

Bank fax

Or upload a bank reference letter

PDF, Word or image, up to 10 MB.

Less than 3More than 3

Reference 1 name

Reference 1 email

Reference 1 phone

Reference 1 fax

Reference 2 name

Reference 2 email

Reference 2 phone

Reference 2 fax

Reference 3 name

Reference 3 email

Reference 3 phone

Reference 3 fax

Or upload a reference sheet

PDF, Word or image, up to 10 MB.

PO NumberOrder NumberProof of DeliveryBill of LadingOther

Accounts are due and payable net 30 days from the date of invoice and/or net 7 days from receipt of proof of delivery. All accounts/invoices are due and payable in full unless otherwise changed in writing by a Rolls Right Industries Ltd. representative. A service charge of 2% per month (or 24% per annum) will be charged on any overdue account. The legal jurisdiction of Vancouver will prevail over the applicant and Rolls Right Industries Ltd. upon acceptance of this application. The applicant agrees to notify Rolls Right Industries Ltd. prior to any changes in the applicant’s ownership, management, business name, address, and any other material changes that may affect its credit, including change of banker. The undersigned agrees that usual credit inquires may be made in connection with the credit hereby applied for and consents to the disclosure of such information. A Rolls Right Industries Ltd. credit application must be signed, agreed to, complete and accurate before credit will be issued. In the event the account is placed with a 3rd party collection agency, this information will be disclosed at the time of placement.

Signature *

Credit application and agreement

Service

Company

Contacts

Business

Bank reference

Trade references

Billing

Agreement