National Account Credit Application

Company: _____________________________________________________
Address: _______________________________________________________
City: _________________  Province: ______ Postal Code: ______________
Contact: ________________________ A/R Contact: ____________________
Phone: ___________________ Ext: _________ Fax: ____________________
Nature of Business: _______________________________________________
Date Commenced: _________ Type of Business: (Corp) __ (Part) __ (Indiv) __

Company Officers/Owners

1. Name: ___________________________ Position: _____________________
2. Name: ___________________________ Position: _____________________
3. Name: ___________________________ Position: _____________________

Bank Information

Credit Required: ______________________
Bank: _______________________________ Branch: _____________________
Account#: ________________ Manager: ________________ Phone: _________

Credit References

1. Name: ______________________ Phone: ___________________ Ext: ______
			  	   Fax: ________________________________
2. Name: ______________________ Phone: ___________________ Ext: ______
			  	   Fax: ________________________________
3. Name: ______________________ Phone: ___________________ Ext: ______
			  	   Fax: ________________________________

We understand that all freight bills are sent to us with a billing copy 
within seven (7) days and no monthly statement will be issued. Terms of 
payment are per carrier quotation.

Signature: _______________________________ Print: ______________________
Title: ___________________________________ Date: ______________________