Corporate Credit Application form, Wheelchair Accessible Transportation services Toronto, Ontario.

Please download latest verson of Flash player

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

Company name/ Registered business name*	How long established
	Years

Suite/Unit no.*	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

Please give us some references

Bank/Trust Company name and Branch address	Account Numbers

Credit References/Suppliers

Name	Address	Telephone Number	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.
The undersigned is authorized to make this application.

Applicant name please print	Applicant position/Title

Password