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

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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

S.I.N.

Suite/Unit no.*	Street Address*	City*	Province*	Postal code*

Home Phone*	Business Phone*	Mobile Phone	Fax Number	E Mail Address*

Employer	Employer s Address	Employers Phone No.

Your Current Position	Annual Salary	Years in Current Position	Years with Company

Bank/Trust Company	Bank Address	Account Number

Major Credit Card	Account Number	Expiry Date	Major Credit Card	Account Number	Expiry Date

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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