Elliott Coach Lines - Credit Application

Credit Application
Site Location Maps

Please feel free to fill out an application for credit.

Fullname*

Address*

Postal code*

Phone number*

Fax Number

Affiliated With

Type of Business

If Other Please Specify

Type of Products Sold

Number of Employees*

Person in Charge*

Business is a*

If Partnership, names of Principals

If Corporation, date incorporated

Accounts Payable Contact*

Purchase Order Number Required*

Term of Blanket*

Financial Information ( if applicable )

Bank

Bank Address

Phone Number

Person to Contact

Note that three (3) Trade References are required

Trade References

(1) Name

(1) Phone

(1) Address

(1) Fax Number

(1) City

(1) Province

(1) Code

(2) Name

(2) Phone

(2) Address

(2) Fax Number

(2) City

(2) Province

(2) Code

(3) Name

(3) Phone

(3) Address

(3) Fax Number

(3) City

(3) Province

(3) Code

Credit Requirements

Approximate monthly credit requirements from us

Please list all authorized purchasing agents

Agent #1

Agent #2

Agent #3

Agent #4

Upon credit being granted, a signature will be required to verify agreement with the following terms.

Net 30 days from date of invoice.
2% per month on outstanding balances ( 24% per annum )