Credit Application

Credit Application - Company Information
Legal Name of Company*
Trading Name of Company (If applicable)
Year of Incorporation
Nature of Business
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Address (If different than Company Address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Accounts Payable Contact
First Last
Title
Email
Telephone Number
Fax Number
Tax Information
G.S.T. Number P.S.T Number
Invoice Preference
Credit Limit Requested
Trade References
Trade Reference #1: Company Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
First Last
Phone*
Email*
Trade Reference #2: Company Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
First Last
Phone*
Email*
Trade Reference #3: Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
First Last
Phone
Email
Comments or Additional Information
Payment Terms and Agreement*
I agree to North Fringe's payment terms as outlined below:
We acknowledge and agree to North Fringe's payment terms of NET 30 DAYS from the date of the invoice. Interest will be charged on any outstanding balances over 30 days. The credit card on file will be charged for any invoices unpaid after 60 days. Upon review of the Credit Application, our team will contact your Accounts Payable department for payment information.
Upload File (Optional)
Drop files here or

Max. file size: 64 MB.
Please do not upload any sensitive, confidential, or personal information. Ensure all submissions comply with our data protection and privacy policies.

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Credit Application

Credit Application - Company Information

Accounts Payable Contact

Trade References

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