Credit App - Warehouse Services Inc.

WSI has incredible service and only the best parts. Fill out the Credit App below to begin your journey with us.

This application must be completed in full otherwise credit will not be issued. Ensure all information is correct and that you submit it when completed.

Officer Information

Type of company *

Numbers of Years in Business *

Trade Name

GST Number *

Owners Name *

First

Last

Phone Number *

Fax

Email *

Confirm Email

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Number of Years at Current Address *

Mailing Address (if different than above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Ship to Address (if different)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Officer Information

Company Officer #1 *

First

Last

Title

Company Officer #2 *

First

Last

Title

Purchasing Information

Authorized Purchasers - First and Last names required *

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Purchase Orders Required? *

IF YES - Then

Written
Verbal

Accounts Payable

Accounts Payable (If different than owner) Name

First

Last

Accounts Payable Phone #

Accounts Payable Email

Confirm Email

Layout

I consent to emailed statements (once a month) *

I would like EVERY invoice emailed *

Email for statements if different than above

Trade References

Trade Reference #1 Name *

First

Last

Trade Reference #1 Email *

Trade Reference #1 Phone Number *

Trade Reference #2 Name *

First

Last

Trade Reference #2 Email *

Trade Reference #2 Phone Number *

Trade Reference #3 Name *

First

Last

Trade Reference #3 Email *

Trade Reference #3 Phone Number *

Bank References

Name of Bank *

Bank Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of Contact Person *

First

Last

Bank Contact Email *

Confirm Email

Bank Contact Phone *

Ordering Information

Terms and Conditions

TERMS: All accounts are due and payable Net 30 days of the month following the purchase. All overdue accounts are subject to the interest rate of 2.0% per month (24% per annum) DECLARATION: I/We confirm that the above information is true and is given for the purchase of obtaining credit. I/We agree to make all of the payments on their due date according to the terms of the sale. I/We further agree to pay all the interest charges on the overdue amounts at the rate of 2% per month (24% per annum). I certify that I am authorized to make this request for credit on behalf of this company/ or my partner(s), and they are aware of this application.

I/We agree to the terms and Declarations as described below*

I Agree

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Signature *

Date *

Company

Locations

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