- Account Application Form -

Fill Out Our Account Application Form

Name: Weld-Tech Products Inc
Address: 19 Garden Avenue, Stoney Creek, ON, L8E 2Y8, Canada
Telephone: 905-664-5088

At Weld-Tech Products Inc, we adhere to a fair and transparent work process to ensure your complete peace of mind. This is the reason why we ask you to fill out this account application form when renting or leasing our cylinders. If you have any concerns regarding this form, feel free to reach out to us. We can be contacted on the phone at 905-664-5088 or via email at sales@weld-techproducts.com. We will be more than happy to answer your questions and help you!

Account Application Form

FOR OFFICE USE ONLY

Account #

Line of Credit $

Company Information

Name

Billing Address

City, Province

Postal Code

Year business Established

Business Phone Number

Business Fax Number

Name of Principal

Principal Cell Number

A/P E-mail Address

Receive invoices via e-mail?

A/P Contact

A/P Phone Number

A/P Fax Number

Full Names of Company Principals

Name

Position/Occupation

Name

Position/Occupation

Name

Position/Occupation

Banking Information

Financial Institution

Address / Location

Phone Number

Contact Person

Purchasing Information

Names of employees with purchasing authority (for all employees Print "ALL")

Credit References

Name

Address / Phone Number

Relationship

Name

Address / Phone Number

Relationship

Name

Address / Phone Number

Relationship

Note: Accounts for companies in business for less than 3 years or personal accounts require a major credit card

Name on Credit Card

Card Number

Expiry Date

ALL RENTED/LEASED CYLINDERS ARE SUBJECT TO A $300 DEPOSIT. FURTHERMORE, TERMS & CONDITIONS ARE BASED ON CREDIT INFORMATION RECEIVED AND MANAGEMENT CREDIT APPROVAL. CYLINDER DEPOSITS CAN BE APPLIED TO CYLINDER LEASE RENEWAL ON 3RD ANNIVERSARY PROVIDED ACCOUNT IS IN GOOD STANDING AND AVERAGE PAYMENT DAYS DO NOT EXCEED 60 DAYS. CYLINDER DEPOSITS CANNOT BE APPLIED TO OUTSTANDING INVOICES INCLUDING DAILY CYLINDER RENTAL.

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Location:

Date:

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