1-800-255-5211

Credit Application

Set up a business account with us to streamline your equipment purchases!

Application for Credit

Please complete all required fields to apply for credit terms.

Company Name *

Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *

Fax

Principals *

Position *

Type of Business *

Years of Incorporation *

GST/HST # *

Contact for Payment *

Accounts Payable Email Address *

Banking Information

Bank Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Name *

Phone

Trade References

Please list companies with whom you have current, established credit.

1. Company Name *

Contact Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *

Email Address *

2. Company Name *

Contact Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *

Email Address *

3. Company Name *

Contact Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Phone *

I hereby authorize ShearForce Equipment, to whom this application is submitted, to obtain this credit report or other information as is deemed necessary in connection with the establishment and maintenance of a credit account for any other direct business requirement.

Date *

Signature

Requested Credit Amount *

Position *