Credit Application
Fill out the fields below in order to apply for a credit amount and payment terms. You must provide a minimum of two credit references.  The account will be opened based on the assumption that you will be spending a minimum average of $50.00 per month.  If the account is not being used for an extended period of time, it will be closed and payment terms will be upon receipt.  If there are any further questions, please feel free to contact us.

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Company Information
Company Name  
Contact Name  
Address  
City / Province  
Postal Code  
Phone #  
Additional Phone #
Fax #  
Website
Email  
HST #
Do you require a purchase order number?  
Would you like to be added to our monthly mailing list for updates on new equipment and used equipment for sale?  
Banking Information
Your Bank  
Location/Address  
Phone #
Account #  
Credit Reference #1
Company Name  
Address  
Phone #  
Fax #  
Credit Reference #2
Company Name  
Address  
Phone #  
Fax #  
Credit Reference #3
Company Name
Address
Phone #
Fax #
Personal Guarantee
Date ...  
By selecting "Yes", you agree to be personally responsible for all outstanding balances owing to Robertson Rent-All Inc. You are also stating that you have the signing authority to bind the company named above in this application.  
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