Credit Application Form
Credit Application
Get your company credit with L. Hansen's Forwarding!
* indicates a required field.

* Legal Name:
* Address:
* City: Prov/State:
* Postal Code:
* Telephone: Fax:
* Email:
* Company Type:
 
Officers
*  Name: Title:
* Address:
 Name: Title:
 Address:
 
Nature of Business:
Date of Incorporation:
Where Incorporated:
Annual volume: Net Worth:$
Name of Bank:
Branch: Telephone:
 
Trade References (other than credit cards)
Name: Tel.:#
Address: Contact:
Name: Tel.:#
Address: Contact:
Name: Tel.:#
Address: Contact:
 
* Contact Name:
* Tel.:# * Email:
 
Amount of Credit Requested: $

Terms of Agreement:
The above information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize L. Hansen's Forwarding to investigate the references listed pertaining to my/our credit and financial responsibility.

I understand that credit terms with L. Hansen's Forwarding are 30 days from invoice date, 24% per annum on all overdue accounts.
Any N.S.F. or returned cheques will be subject to a $25.00 service charge.
By checking the checkbox Applicant attests finanicial responsibility, ability and willingness to pay our invoices in accordance with the above terms.


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