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Apply for a credit account

Complete the application below. Fields marked * are required.

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Business information

Legal business name*Operating name

Business type*Incorporation / registration no.

GST/HST no.Years in business

WebsiteStreet address*

City*Province / state*

Postal code*Country*

Phone*Email*

Accounts payable contact

Name*Email*

Phone

Purchasing contact

NameEmail

Phone

Credit requested

Requested credit limit (CAD)*Expected monthly purchases (CAD)

Bank reference

Please do not include bank account numbers.

Bank*Branch

Account manager nameAccount manager phone

Trade reference 1

Company*Contact name*

Phone*Email

Trade reference 2

CompanyContact name

PhoneEmail

Trade reference 3

CompanyContact name

PhoneEmail

Authorization

Authorized signatory name*Title*

Date*Typed signature*

I certify the information is accurate and authorize Global Lions Consulting Company Ltd. to contact the references listed to verify credit.*

Supporting documents (optional)Upload documents

Files up to 8 MB total. For larger sets, share a link below or email info@glspro.ca.

Applications are reviewed and you will be contacted with the outcome.