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Credit Application
Download this form to print or fax | View our privacy policy Phone: 1.770.822.5600 Ext.2914 Fax: 1.678.969.6699

General Information

Company Name *   Address *
DBA   City *
Email:   Province *
D&B #   Postal Code *

Type of Business     Corporation      LLC      Partnership      Single Proprietorship      Other

Contact Name *   Title
Phone *   Fax

Bank Reference

Bank Name   Bank Address
Telephone   City
Fax   Province
Bank Contact Name   Postal Code
Bank Contact Title   Email

Trade References (List 3 vendors with whom you have established credit)

Vendor 1 Name   Vendor 1 Address
Vendor 1 Telephone   Vendor 1 Fax
Vendor 1 Account #   Vendor 1 Contact Name
Vendor 1 Nature of Business      

Vendor 2 Name   Vendor 2 Address
Vendor 2 Telephone   Vendor 2 Fax
Vendor 2 Account #   Vendor 2 Contact Name
Vendor 2 Nature of Business      

Vendor 3 Name   Vendor 3 Address
Vendor 3 Telephone   Vendor 3 Fax
Vendor 3 Account #   Vendor 3 Contact Name
Vendor 3 Nature of Business      

All information contained in this credit application is true and accurate and is furnished to Global Equipment Company (GEC) in order to induce GEC to grant credit to customer. Customer authorizes GEC to obtain credit and financial information concerning Customer at any time and from any source and agrees to hold harmless GEC against any claim for doing so.

Applicant Name *   Applicant Title *

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No additional duties or fees (additional fees and duties will be the responsibility of the customer if collect freight is selected.)
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