5759 Sidley St

Burnaby, B.C. V5J 5E6

Phone# (604)412-0280

Fax# (604)435-6757

CREDIT APPLICATION

NAME OF COMPANY:____________________________________________________________________

MAILING ADDRESS:_____________________________________________________________________

_____________________________ POSTAL CODE: ________________________

PHONE#:_____________________FAX#_____________________EMAIL___________________

PERSON RESPONSIBLE FOR APPROVING & PAYMENT OF ACCOUNT:____________________________________________________________________

NAME OF FINANCIAL INSTITUTION:___________________________________________

BRANCH:________________________PHONE#______________________________________

Name____________________Contact____________Phone#______________Fax#___________

The undersigned guarantors guarantee payments and interest owing by the applicant.

APPLICANT:___________________________________

GUARANTORS:_________________________________

Dated____________________day of______________________________2017