ACCOUNT APPLICATION:
*
Company Name:
Owner(s)/Principal(s):
*
Address:
*
Phone:
*
Cell:
*
Fax:
*
Email:
*
GST Number:
*
Business License Number:
*
Issued by:
*
Type of Business:
Architect
Builder
Decorator/Design Consultant
Furniture Manufacturer
Retailer
Interior Designer
Other
Upholsterer
Workroom
*
Name/Address of Bank:
*
Manager's Name/Contact #:
*
List 3 Trade Credit References: (name/phone/fax)
*
Date:
