Demande de crédit

Applicant Information

Full Company Name *

Street Address *

City *

Province *

Postal Code *

Phone Number *

Fax Number

Email Address *Please provide a valid email address where you would like to receive your invoices

Confirm Email Address *

Principals / Owners *

Banking Information

Bank Name *

Bank Branch Address *

City *

Province *

Postal Code *

Bank Branch Phone Number *

Account Number(s) *

Business / Trade References

Reference Company Name *

Address *

City *

Province *

Phone Number *

Terms and Agreement

By submitting this Credit Application, the undersigned confirms that all information provided is accurate and complete to the best of their knowledge. The applicant understands that the accounting team will review this form to assess creditworthiness and establish a credit account. The applicant agrees to notify the company promptly of any changes to the provided information. *I agree to these terms

Signature *

Printed Name *

Title *

Date *

Save as Draft

CENTENNIAL CAR & TRUCK RENTALS

LOCATIONS ALL ACROSS ATLANTIC CANADA

See Our Latest Online Offers

ADDRESS

SOCIALS

MENU