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Please fill in our credit application to receive 30 Day on account status. Allow 1-2 weeks for credit approval after our receipt of your credit application. Fill in the form below, or print and fax the PDF credit application

Confidential Credit Application

Legal Name of Firm:
Doing Business Under the Name of:
Type of Business:


Principal Business Address:
Street:
City:		Province:
Postal Code:		E-mail:
Phone:		Fax:
At Present Location Since:
Year Business Established:

Names of Principal(s) or Owner(s):
Name:		Name:
Address:		Address:
Phone:		Phone:

Financial Information:
Bank:		Account:
Address:		Fax:
Contact:		Phone:

Credit Information:
Anticipated Credit Requirements: / month
Authorized Purchasing Agents:		Accounts Payable Contacts:
1)		1)
2)		2)

Trade References:
Name:	Street Address:	City:	Fax:
1)
2)
3)

The Undersigned certifies that the above information is true and correct.
The Undersigned expressly agrees to pay interest at the rate of 2% per month on overdue invoices, which is an annual percentage of 24%.
Oakwood Broadcast is hereby authorized to conduct whatever investigation is necessary.
in reference to the above application

Date:		Name:
Title:

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#6 1555 Dublin Ave. | Winnipeg, Manitoba R3E 3M8 |

P:(204)775-4467 | F:(204)775-4503 | T:800-665-0501 | sales@oakwoodbroadcast.com