Corporate Registration :: Wheelchair Accessible Transit Inc.

Wheelchair Accessible Transit Inc.
2727 Steeles Ave. West, Suite 303A
Toronto, Ontario M3J 3G9

Office: (416)884-9898
Fax: (416)661-0303
Toll Free: 1-877-225-2212

www.wheelchairtransit.com
info@wheelchairtransit.com

CORPORATE CREDIT APPLICATION

Company name/ Registered business name*

How long established (Years)

Suite/Unit no.*

Street Address*

Street Address

City*

Province*

Postal code*

Business telephone number*

Mobile Telephone number*

Fax number

E-mail address*

Type of business

Legal status
Corporation
Individual proprietorship
Partnership

Owners/Partners Name and Residential Address

Social Insurance Number

Owners/Partners Name and Residential Address

Social Insurance Number

Owners/Partners Name and Residential Address

Social Insurance Number

Please give us some references

Bank/Trust Company name and Branch address

Account Numbers

Name

Telephone Number

Name

Telephone Number

Name

Telephone Number

Address

Account Number

Address

Account Number

Address

Account Number

PLEASE BE ADVISED THAT A DEPOSIT EQUAL TO THE VALUE OF ONE MONTHS WORTH OF TRIPS MAY BE REQUIRED.

Please sign below...
In applying for credit with Wheelchair Accessible Transit Inc., the undersign consents to Wheelchair Accessible Transit inc. obtaining forms, exchanging with or disclosing to a third party all information concerning the applicant for the purpose of ensuring the accuracy of this information and conducting investigations. One of our customer professionals will contact you with 24 hours of receiving the application. Once an account number is given, you will be able to start using the account immediately.

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Applicant name please print

Applicant position/Title

Password

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