Roma Fence Ltd., Serving You Since 1969

Please complete and submit our online Credit Application Form. Or you may choose to print the pdf, complete and fax it
to (905) 794-0276. Allow two weeks for processing.

Credit Application Form
Legal Name of Business:
Address:
City:
Province:
Postal Code:
Phone Number:
Fax Number:

Officers/Partners/Owners:	1 2 3 4

Own:
Rent:
Annual Sales:
Years in Business:
Amount of Credit Required: ($)
Contact:

REFERENCES:
Bank:
Bank Phone #:
Branch:
Account #:
Trade (1)
	Phone #:
Trade (2)
	Phone #:
Trade (3)
	Phone #:
P. O. Required?	Yes No
PLEASE PROVIDE PST EXEMPTION FORM IF APPLICABLE:

The applicant agrees that all accounts are due and payable upon receipt of the invoice unless otherwise stipulated in writing and that a service charge of 2% per month (24%per annum) will be paid by customer on all other amounts over 30 (thirty) days of invoice. THE APPLICANT(S) HEREBY AUTHORIZE ROMA FENCE LTD. TO OBTAIN THE CREDIT INFORMATION AND REPORTS NECESSARY TO COMPLETE THIS APPLICATION AND TO RELEASE CREDIT INFORMATION AS REQUIRED. Allow 2 (two) weeks for processing this application

Customer Name:
Title:
Email Address: