To open an account with Quick As A Wink Cartage,
simply fill in and submit the following Credit Application form.
If you would like immediate credit, please contact us at:

Quick As A Wink Cartage
9300 Van Horne Way,
Richmond,B.C.,V6X 1W3

ADMINISTRATION : 276-9732
FAX. 276-8143
DISPATCH: 276-8686
EMAIL- admin@quickasawinkcourier

(Please allow 1 or 2 work days for processing of application)

I / We hereby request that Quick As A Wink Cartage provide to the Company or Person Named below a Credit Account Subject to the Terms Outlined.
BRANCH / NAME INFORMATION			* required fields
Name/Trade Name:	*		Postal Code:
Postal Address:	*		Telephone:	*
City:	*		Fax
Province:	British Columbia Yukon Territories NorthWest Territories Alberta Saskatchewen Manitoba PEI Newfoundland Nova Scotia Ontario Quebec New Brunswick		Your Email:	*

GENERAL INFORMATION
Trade References: Firms presently extending Credit to you in line with your requirements from us: Preferably local references
How often do you expect to use our services this month:
Maximum Credit requested in $ per month:
How did you hear about Quick as a Wink

COMPANY INFORMATION
President: :			Type of Product or Service:
Secretary:			Type of Firm:	Proprietorship: Corporation: Partnership:
Date of Incoporation: (DD/MM/YY)	/ /
If Branch, Head Office Address:			Head Office City:
Province:	British Columbia Yukon Territories NorthWest Territories Alberta Saskatchewen Manitoba PEI Newfoundland Nova Scotia Ontario Quebec New Brunswick		Postalcode:
Mail Invoices To:	Branch: Head Office		Bank Reference:	*
			Bank Branch:	*
Trade References: Firms presently extending Credit to you in line with your requirements from us: Preferably local references
	Company			Contact Info:
1.	*		Phone# :	*
2.	*		Phone# :	*
3.	*		Phone# :	*

Please note: THE APPLICANT IS AWARE AND FULLY UNDERSTANDS THAT:

A) Variable Billing charges are due upon receipt of our invoice and are past due 15 days thereafter and:

B) Past due accounts are subject to cancellation of credit without invoice and a subsequent third party collect action and:

C) All charges must be paid before any service disputes can be settled, and

D) A service charge of 2% (24%) per annum may be charged on past due accounts

CONSENT I / We Hereafter Authorize Squamish Whistler Express and FreightTo Obtain Such Credit Reports Or Other Information as May Be Deemed Necessary In Connection With The Establishment and Maintenance of a Credit Account or For Any Other Direct Business Requirement.

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