Request An Open Account With Precision Electric – Canada

Company Name

Official Company Website

Requested Line Of Credit

Company D-U-N-S Number (Dun & Bradstreet Number) – NOT Required But SIGNIFICANTLY Increases Application Approval Time

Company Legal Entity Type

Applicant First Name

Applicant Last Name

Applicant Title / Position

Applicant E-mail Address

Accounts Payable Contact First Name

Accounts Payable Contact Last Name

Accounts Payable E-mail Address

Is Your Company Tax Exempt?

Does Your Company Prefer Invoices By U.S. Mail Or E-mail?

Company Billing Address For Invoicing

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Company E-mail Address For Invoicing

Company Authorized Shipping Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Country

Additional Information You Believe Is Relevant To Your Application

Account Application Agreements

I agree and understand this application may be rejected outright if the above information is found to be incomplete, inaccurate or misrepresentative of the company.

I agree and understand Precision Electric reserves the right to notify legal authorities if the above information is found to be made by an unauthorized individual, is intentionally inaccurate or maliciously misrepresentative of the company applying for credit.

I agree and understand Precision Electric reserves the right to notify the company itself to confirm above information is made by an authorized individual, is accurate and is representative of the company applying for credit.

I agree and understand Precision Electric reserves the right to make inquiries into the banking and business / trade references that you have supplied.

I agree and understand all invoices are to be paid 30 days from the date of the invoice.

I agree and understand claims or disputes arising from invoices must be made within seven working days.

Signature Of Company Applicant Authorized To Open An Account