Business Credit Application
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1Company:
Address:
City:
State:
Zip:
Phone:
Fax #:
Ownership:
Corporation
Partnership
Individual
(circle)
Year founded or years in business:
Contacts:
Principal(s):
Purchasing:
Payables:
Sales:
Annual Sales:
<$1 Mil.
$2 - $5 Mil.
$6 - $10 Mil.
$10 Mil.>
(circle)
Employees:
<10
10 - 25
25 - 50
50>
(circle)
Requested Credit Amount: $
(enter $)
Note: For orders exceeding a company’s credit limit, MGV will require a bank “Letter of Credit”.
Bank:
Address:
City:
State:
Zip:
Contact:
Fax:
PH:
Major Suppliers:
Company:
Contact:
Fax:
PH:
Company:
Contact:
Fax:
PH:
Company:
Contact:
Fax:
PH:
Company:
Contact:
Fax:
PH:
We certify that the information above is correct and authorize your verification of this information. It
is our understanding that this information is for the use of your credit department only and will be held
in the strictest confidence.
Date:___________ Signature:__________________________________ Title:_____________
Market Group Ventures Inc.
P.O. Box 40, Shawnigan Lake, B.C. V0R 2W0 Canada
Phone: 1-800-519-1222 Fax: 1-888-417-1221 or (250) 743-1221 Email:
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Parent category: Business