Fleet Credit Application Form

Once your complete application has been received, our Inside Sales team will provide you with status updates as we move it through the process.

Incomplete applications will not be processed. Please fill in all fields completely and accurately to ensure speedy processing.

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App Type
Today's Date*
MM slash DD slash YYYY
Your Name*
First Last
Your Phone #*
Your E-mail Address*
Your Job Title*
Legal Company Name*
DBAs or Franchise Names Used*
COMPANY ADDRESS
Street Address*
City*
Country*
State*
Province*
Taxpayer ID# (US) or GST# (CAN)*
ZIP/Postal Code*
Telephone*
Names & Addresses of Other Branches
Company Contacts
A/P Contact Name*
A/P Contact E-mail*
A/P Phone #*
Owner's Name
Owner's E-mail Address
Main Contact Name*
Main Contact E-mail Address*
Main Contact Job Title*
COMPANY INFO
Year Established*
Total Annual Revenue $*
Total Number of Staff*
Please note that all information provided will be held strictly in confidence. Incomplete applications will not be processed. Please fill in all fields completely to ensure speedy processing.
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Would you like to submit your credit application?
- Yes
- No

Customer Credit Application
Registered Company Name*
DBA
Date*
MM slash DD slash YYYY
Terms Requested*
Credit Amount Requested $*
Address
Street*
City*
Country*
State*
Province
ZIP/Postal Code*
Telephone*
Fax
Company Information
Year Established*
Taxpayer ID# (US) or GST# (CAN)*
Tax exemption*
- Yes
- No
Resale certificate*
Max. file size: 1 MB.
Please upload your certificate
A/P Contact*
E-mail Address*
Principals/Officers: (Please list full names of Owners, Directors, or other Authorized signing Officers)
1.
2.
3.
Credit References

(3 required)
Company Name*
Telephone*
Email or FAX?*
Email*
Fax*
Acct #*
Reference #2
Company Name*
Telephone*
Email or FAX?*
Email*
Fax*
Acct #*
Reference #3
Company Name*
Telephone*
Email or FAX?*
Email*
Fax*
Acct #
Reference #4
Company Name
Telephone
Email or FAX?
Email
Fax
Acct #
Bank Information
Bank Name*
Address 1*
Address 2
Bank Contact Name*
Telephone*
TERMS OF SALE & AUTHORIZATION TO RELEASE CONFIDENTIAL FINANCIAL INFORMATION
1. If credit terms are approved, payment in full is due thirty (30) days from the invoice date. Ranger Design Inc. reserves the right to change payment terms at any time if an account is past due.
2. No term or condition contained in any purchase order, offer, writing or other communication to Ranger Design Inc. shall be valid and binding upon Ranger Design Inc. unless agreed to in writing by an authorized representative of Ranger Design Inc. or is identical to the written terms and conditions of sale of Ranger Design Inc.
3. The undersigned Applicant understands and agrees that any invoices paid by credit card are subject to applicable surcharges of 2% for Visa, Mastercard, Discover and 3% for American Express, with exception to the selection of “Credit Card Pre-Payment” terms option found herein.
4. The undersigned Applicant agrees and authorizes the company Ranger Design Inc. to receive and consult information on my (our) account and my (our) credit experience with all creditors, credit bureaus, banks or any financial institutions and other service suppliers. This agreement is effective for the whole duration of this contract.
5. The company Design Ranger Inc. is authorized to communicate all credit experience information on the undersigned to all creditors, credit bureaus, banks or any financial institutions and service suppliers for the whole duration of this contract.
6. It is understood and agreed that acceptance of returned merchandise is subject to Ranger Design Inc.’s applicable return policy as found on our official website.
I/we the undersigned, as an authorized signing officer of the company named hereon understand and agree to all the above terms and conditions. I/we have the authority to bind the corporation.
Name*
Title*
agree and authorize the company Ranger Design Inc. to receive and consult information on my (our) account and my (our) credit experience with all creditors, credit bureaus, banks or any financial institutions and other service suppliers. This agreement is effective for the whole duration of this contract.

The company Design Ranger Inc. is authorized to communicate all credit experience information on the undersigned to all creditors, credit bureaus, banks or any financial institutions and service suppliers for the whole duration of this contract.
At
At*
this
day*
day of
Month*
,
Year*
Signature*
Please note that all information provided will be held strictly in confidence.
20600 Clark-Graham, Montreal, QC, H9X 4B6 Tel: 1-800-565-5321

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Fleet Credit Application Form

COMPANY ADDRESS

Company Contacts

COMPANY INFO

Customer Credit Application

Address

Company Information

Credit References

Bank Information

TERMS OF SALE & AUTHORIZATION TO RELEASE CONFIDENTIAL FINANCIAL INFORMATION

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COMPANY ADDRESS

Company Contacts

COMPANY INFO

Customer Credit Application

Address

Company Information

Credit References

Bank Information

TERMS OF SALE & AUTHORIZATION TO RELEASE CONFIDENTIAL FINANCIAL INFORMATION

PRODUCTS BY VEHICLE

PRODUCT CATEGORIES

TRADE PACKAGES

DISTRIBUTORS

FLEET CUSTOMERS

VEHICLE DEALERSHIPS

CORPORATE INFORMATION

LEARN

HOW TO BUY

TRADE PACKAGES

CORPORATE INFORMATION

LEARN

DISTRIBUTORS

FLEET CUSTOMERS

VEHICLE DEALERSHIPS

HOW TO BUY

FOLLOW US

CORPORATE
INFORMATION

CORPORATE
INFORMATION