ExpairCargo

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Credit application

Company Name: *

Tel: *

"xxx-xxxx"

Address: *

Fax:

"xxx-xxxx"

City: *

Postal Code: *

Country: *

Region: *

Billing contact: *

Billing email: *

Billing address (if different)

Name:

Tel:

"xxx-xxxx"

Address:

Fax:

"xxx-xxxx"

City:

Postal Code:

Country:

Region:

Company information

Type of enterprise: *

Number of years in business: *

Amount of credit requested: *

Former WestJet account number:

IATA Cass member account #:

Reffered by:

(Exp-Air Cargo agent name)

Bank Information

Financial Institute: *

Account No.: *

Address:

Contact:

City:

Postal Code:

Country:

Region:

Tel:

Fax:

Credit reference
Is Payable by Credit Card: * YesNo
If No, please provide requested information below.
Company *	Contact *	Phone *	Fax (Mandatory) *



One airline reference

If Air Canada please also provide your AC account #.

Credit agreement
Our credit terms are Net 30 days from date of invoice. All over-due accounts will be subject to interests of 15% per month. Failure to comply with these terms can result in your credit privilege being suspended or revoked, and your account being placed on COD terms without further notification. Please remit on time. Thank you.
I agree the terms and conditions. *
Fill By: *		Phone or Email: *