Date

Company

Contact

Box

Street

City

Province

Postal Code

Phone

Fax

Email

Principals (if Limited) include Address:

Years in Business

How would you like to receive your invoices? 

Email(Type Yes or No, new address if different from above):

THIS CREDIT APPLICATION WILL NOT BE PROCESSED UNTIL CREDIT REFERENCES HAVE BEEN VERIFIED. 

I hereby authorize Bee Plus Workplace Solutions to check the following bank and credit referencesYesNo

CREDIT REFERENCES 

First Reference

Name

Address

Phone #

Second Reference

Name

Address

Phone #

Third Reference

Name

Address

Phone #

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