Credit Application – Seaway International Bridge Corporation

(Please Complete Fully)

Applicant

Applicant’s Name(Required)

Applicant’s Title(Required)

Applicant’s Phone Number(Required)

Applicant’s Email Address(Required)

Company

Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Fax Number

Email Address(Required)

Name of Operations Manager(Required)

Name of Accounts Payable Clerk(Required)

AP Email(Required)

Nature of Business(Required)

Number of years in business(Required)

Bank

Financial Institution(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number(Required)

Fax Number(Required)

Email Address(Required)

Name of Contact Person(Required)

Account Number(Required)

Corporate Cards

Monthly Credit Required(Required)

x 2 =

Required Security Deposit (minimum $300)

Number of Credit Cards Required(Required)

No charge for the first 10 (ten) cards. Additional cards are available at $5.00 each. Cards will be issued once the security deposit has been received. Damaged cards must be returned to the SIBC office and they will be replaced free of charge.

Conditions:

I (we) certify that this information is true and correct and I (we) agree that this application may be referred to a credit bureau for verification of the information provided. If credit is extended, I (we) further agree that such extension of credit shall be subject to the following terms and conditions:

All amounts are invoiced in Canadian Funds.
Accounts are invoiced twice per month and are due no later than 30 days from the date of the invoice (net 30).
Account holders will be notified in writing of any changes to the toll rates.
A non-interest bearing security deposit equal to the greater of $300.00 or two months toll transits is required. Accounts are reviewed periodically to ensure sufficiency of funds. The security deposit will be returned (less any outstanding charges) upon request to close the account.
Past due accounts exceeding the security deposit will have their credit privileges suspended until the account is current.
All cards issued are the responsibility of the credit holder. Requests for additional cards must be made in writing by an officer of the company.

For account information, contact Accounts Payable at 613-932-6601 ext 122

For information on tolls or transits, contact the Operations Supervisor at 613-932-6601 x160