CREDIT APPLICATION FORM

CLIENT INFORMATION

Legal Corporate Name*

Telephone*

Street*

Fax

City*

E-mail*

State / Province*

State

GST # *

HST # *

Tax ID*

Postal Code*

QST # *

PST # *

Importer # *

Nature of Business*

Years in Business*

Credit Limit Requested (in USD)*

ACCOUNTABLE PAYABLE CONTACT

Full Name*

Email*

BANK INFORMATION

Bank Name*

Branch Number*

Account Number*

Account Officer*

Telephone*

Fax

Email*

TRADE REFERENCES

Companies that grant you credit

COMPANY 1

Company Name*

Contact Name*

E-mail*

Phone*

Fax*

COMPANY 2

Company Name*

Contact Name*

E-mail*

Phone*

Fax*

COMPANY 3

Company Name*

Contact Name*

E-mail*

Phone*

Fax*

CREDIT VERIFICATION

I hereby authorize Latin American Cargo to undertake necessary credit investigations. I hereby adhere to the terms and conditions of payments as granted by Latin American Cargo and acknowledge that credit privileges may change at the discretion of Latin American Cargo.

Full Name*

Job Title*

Date*

(Max. 10mb - Allowed files: jpg, jpeg, png, gif, doc, docx, ppt, pptx, pdf, xls, xlsx)

This request to Open Credit Account will be processed only when completed and submitted with appropriate credit references and duly signed on this page by a signing officer to the client.

All transportation related business conducted by Latin American Cargo is conducted under the Standard Terms and Conditions of the Canadian International Freight Forwarder's Association.

Custom Brokerage in Canada is conducted under the Standard Terms and Conditions of the Canadian Society of customs Brokers. Copies of these Terms and Conditions are available from Latin American Cargo

Check here means that you accept our terms and conditions

CREDIT APPLICATION FORM

PLEASE PROVIDE THE INFORMATION BELOW

CLIENT INFORMATION

ACCOUNTABLE PAYABLE CONTACT

BANK INFORMATION

TRADE REFERENCES

COMPANY 1

COMPANY 2

COMPANY 3

CREDIT VERIFICATION

Don't Just Take Our Word for It