Make it easy for yourself by getting a credit account

COMPANY INFORMATION
Company Name *

Company Address *

City *

Province *

Postal code *

In business since *

 

OWNER INFORMATION
Owner's Name *

Social Security number *

Phone *

Fax

Email Address *

 

ORDERING INFORMATION
Name of the person responsible for purchasing *

Phone *

Fax

Email Address *

Name of the person responsible for accounts payable *

Phone *

Fax

Email Address *

 

BANKING INFORMATION
Bank Name *

Branch Name *

Account number *

Bank Address *

City *

Province *

Postal code *

Contact at the bank

Phone

Email Address

 

I accept the payment terms of 30 days net, according to the terms of Domfile inc.
 

Your Name *

Phone *

Email Address *

Message

remplir ou non

Δ