Online Account Setup

Setting up an account	Download, complete and fax back Credit Application › Or complete our online form below
Credit Card Authorization	Download, complete and fax back our Credit Card Authorization Form ›
Fax Information	Please Fax form to: Bannerz Canada Inc. 780-433-5217

Registered Business Name

Operating As

Address

City

Prov

Postal Code

A/P Contact

Email Address

Telephone Number

Fax Number

Billing Address if different from business address

Business Style

GST No.

Type of Business

How Long in Business

I hereby acknowledge that I have read a copy of the standard trade terms and conditions, which I have reviewed, and on behalf of the applicant I agree that these standard trading conditions shall govern the relationship between the applicant and Bannerz Canada Inc.

Name and Title

Name of Bank

Bank Address

Contact

Telephone Number

Bank Account No.

Fax Number

1st Supplier Name

1st Supplier Telehphone Number

1st Supplier Fax Number

1st Supplier Contact

2nd Supplier Name

2nd Supplier Telehphone Number

2nd Fax Number

2nd Supplier Contact

3rd Supplier Name

3rd Supplier Telehphone Number

3rd Supplier Fax Number

3rd Supplier Contact

Credit Limited Requested

Name of person completing this online form

Online Account Setup

Setting up an account

Credit Card Authorization

Fax Information

Credit Application Form