Quick As A Wink Courier Service Ltd. : Open an Account

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

Quick As A Wink Courier Service Ltd.
201-9900 River Drive,
Richmond,B.C.,V6X3S3

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 Courier Service Ltd. 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:		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:		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.