^{Ontario Industrial Supply}

Credit Application

Click here to download a PDF version of our credit application that you can print, fill out and fax to us at: (905) 335-7060 or simply fill out our following online credit application form and click the submit button at the bottom. We will notify you once your account has been set up.

Online Credit Application Form

Please use this form to provide us with the financial information necessary to grant credit to your account. All information is held in strict confidentiality and no information is maintained after the credit check has been performed.

You will be notified by email or by phone of your credit approval.

*Full Name of Business:

* Business Address:

*City: *Province:

*Phone Number: Fax Number:

Email:

*Form of Ownership: *Length of Time in Business:

*Name of Principals/Officers and Title:

*Name of Accounts Payable Contact:

First Trade Reference:
*Company Name:
*Contact Person
*Address:
*Telephone:
Fax:
Second Trade Reference:
*Company Name:
*Contact Person
*Address:
*Telephone:
Fax:
Third Trade Reference:
*Company Name:
*Contact Person
*Address:
*Telephone:
Fax
Bank Information:
*Bank Name:
*Branch Address:
*Bank Manager:
*Bank Telephone:

Bank Fax:

Authorization: We certify that all the information submitted on this electronic form is correct; and that we fully understand the credit terms and agree to the proper payment in consideration for extended credit. In addition, our completed name, title and date below authorizes release of credit information to Ontario Industrial Supply.
*Your Name:
*Your Title:
*Date:

By Clicking the Submit button, you authorize the release of your credit information to Ontario Industrial Supply