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Credit Application

Dealers outside of Canada please complete our International Dealers Credit Application Form

Date
 Contact Name
 Company Name
Mailing Address
Shipping Address
Phone #
 Fax #
 E-mail address
Ownership Type:   Corporation   Partnership   Sole Proprietor
Do you require persons ordering maps to use PO Numbers  Yes  No
Our terms are 30 days from invoice date.
Do you provide payment within 30 days?  Yes  No
Our GST # is R121319966
Bank Name
 Bank Contact
 Bank Phone #
Business References
 Contact  Company  Phone/Fax #
   
Credit is offered to the above stated company on the following condition:
  • If Map Connection has not received payment within 90 days of the date of any invoice made out to the above company, then Map Connection will be allowed to debit a MasterCard or Visa belonging to this company or the owner(s) of this company for the full amount owing on the invoice(s).
Credit Card Number
Credit Card Expiry Date
I also state that I will keep Map Connection up to date with any credit card changes
Permission is hereby given by (print name)
(sign name)
Status of this person in company Owner Director Partner Manager
    Or fax this form to (403) 266 0935.

Map Connection Ltd. Wholesale Distributors

All prices subject to change without notice
#100 - 400 5th Ave. SW, Calgary, Alberta, Canada, T2P 0L6
Ph. (403)215-4058 Fax. (403)266-0935 E-mail: sales@mapconnection.com