Apply for Credit

General Information

Information about your business

Legal registered Name of Business*

Operating Name of Business (If Different)

Billing Address*

Street Address City Province Postal Code

Shipping Address*

Same as previous

Payment Preferences

Accounts Payable Contact Information

Name*

First Last

Phone*

Email*

Email for Receiving Invoices*

Banking References

Primary Financial Institution*

Business Address*

Street Address City Province Postal Code

Contact Name*

Contact Phone*

Contact Email*

Payment Information

Payment Preferences*

Pre-Authorized Payment

Electronic Funds Transfer

Cheque

PST Exemption Number

PST Exemption Certificate

Accepted file types: pdf, doc, docx, Max. file size: 500 MB.

P/O Requirements

P/O Services Required*

Service

Rental

Leasing

Miscellaneous Charges

Please indicate for which services a PO is required

P/O Amount*

Please indicate the dollar amount a P/O is required over

Payment Contact Name*

Current Certificate of Insurance

Accepted file types: pdf, doc, docx, Max. file size: 500 MB.

If you do not provide your current insurance certificate above, you must forward the current Certificate of Insurance within 30 days of this application.

Email to Wendy Wendy@trailcon.com and Simon schung@trailcon.com.

$5,000,000.00 Proof of Insurance must be supplied prior to the pick-up of equipment. A certificate of insurance naming Trailcon Leasing Inc. as an additional insured and loss payee is required. A non-refundable administration fee of $50.00 per month, plus the cost of Trailcon’s insurance, will be charged if not received. By signing this credit application, you give Trailcon Leasing Inc. authorization to obtain bank, trade and credit reference information for the purpose of reviewing and assessing creditworthiness in setting up an account with Trailcon Leasing Inc.

Final Authorization

Your Information

Name*

First Last

Title*

Date*

Signature*

Name

This field is for validation purposes and should be left unchanged.

Let’s get started

General Information

Information about your business

Payment Preferences

Accounts Payable Contact Information

Banking References

Payment Information

P/O Requirements

Trade References

Vendor Reference #1

Vendor Reference #2

Vendor Reference #3

Vendor Reference #4

Insurance Requirements

Final Authorization

Your Information