Secure Online Credit Application

Please complete the following form - a Guardian Traffic sales representative will contact you to finalize the registration process.

* Enter in Confidence - Your Information is securely stored, it is not shared or distributed to a third party.

Company / Trade Name
Business Full Address
Year Commenced
GST Number
GST Exempt
PST Number
PST Exempt
A/P Number
Purchase Order Number Required
Max Credit Required $
Banking Information
Bank Name
Bank Complete Address
Bank Account Number
Transit Number
Bank Number
Principal Contacts
1st Principal Full Name, Address & Phone
2nd Principal Full Name, Address & Phone
References
*First Reference Contact Information*
Name*
Address*
Phone*
Fax*
*Second Reference Contact Information*
Name*
Address*
Phone*
Fax*
*Third Reference Contact Information*
Name*
Address*
Phone*
Fax*
Disclaimer We hereby affirm that the information herein given for the purpose of obtaining credit is true and correct. Should credit be granted, the undersigned hereby guarantees and indemnifies payment of all present and future debts owing from time to time to Guardian Traffic Services Ltd. Terms are Net 30 Days. All payments will be made on or before due date. The company may proceed to take any action necessary in the collection of monies owed. We understand that any portion of the this account remaining unpaid beyond the terms of purchase is subject to a service charge of 2% per month with a minimum charge of $1.00 on the unpaid balance. I CERTIFY THIS INFORMATION TO BE CORRECT
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