Hi-Way 13 Transport Ltd. - Credit Application

* Required Fields

Please fill out our online credit application. If you wish to download our application and fax it to us click here.

* NAME IN FULL (Trade Name):

CORPORATION

INDIVIDUAL

PARTNERSHIP

Local Address:

City:

Province:

Postal Code:

Phone #:

Fax #:

* E-Mail:

Principals/Owners:

Type of Business:

Date Company commenced Operations:

Name of Bank:

Address of Bank:

List one Transportation Company with whom you have established a credit account:

Trade Reference:

Phone #:

Fax #:

Trade Reference:

Phone #:

Fax #:

Trade Reference:

Phone #:

Fax #:

Approximate amount of Monthly Credit required:

Please mail statements to:

Local Office

Head Office

A/P contact:

Operations contact:

Other billing instructions:

Our Terms: Accounts are due 30 days from day of billing or 7 days from day of statement, whichever is earlier.

Customer Application for Credit