English | French |Spanish

 
 
 
Note: Minimum of 4 characters for the Canadian postal code and 5 characters for the US postal code

News

CREDIT APPLICATION

Credit Reference

To the best of my knowledge the above statements are true. My signature below A) indicates my permission to obtain credit information from the sources referenced and B) attests financial responsibility and willingness to pay invoices in accordance with terms.

Credit Terms are 30 Days

(Office use only) Collection procedures are governed by items 435 and/or 440 of the rules of HRCF 100

Fax or mail all this info to our Claims Department at the numbers above.