Erb Transport Ltd. Erb International Inc. Erb Transportation Solution Inc. Erb Transport Inc.
Erb Interactive

Head Office:
290 Hamilton Rd.
New Hamburg, Ontario N3A 1A2
Tel: (519) 662-2710
1-800-665-COLD(2653)
Fax: (519) 662-3316
Email: contactus@erbgroup.com

Customer Resources - Credit Application

To apply for a Client Credit Account, please choose one of the three submission methods below.

Print-Ready Application Form
Click here to download the form in pdf format (size: 1.0MB)

1) Fax: Print the Print-Ready Application Form above and fax your application to facsimile: (519) 662-9529.

2) Mail: Or Print the Print-Ready Application Form above and mail it to:

Erb Transport
ATTN: Credit Department, Cindy Shantz or Pamela Erb
290 Hamilton Road,
New Hamburg, Ontario
N3A 1A2
Tel: (519) 662-2710 or 1-800-665-COLD(2653)
Fax: (519) 662-9529

3) E-Form: Or you can fill out the electronic form below.

We will promise to get back to you with an answer within 48 hours.

Full Name of Firm:
Trade Style:
Address:
City:
Province/State:
Postal Code:
Email:
   
Previous Address:
(If Applicable)
Facilities: Owned       Leased
If leased, from whom:
(Name, Address)
Equipment: Owned       Leased
If leased, from whom
(Name, Address):
Identity: Corporation
Co-operative
Partnership
Proprietorship
Nature of Business:
Date Business Established:
 /   / 
Contact Name:
Business Phone:
Business Fax:
If a Proprietorship or Partnership, full name of all Principals:   Name      Residence Address       Phone
If a Company, names of Principal Officers:   Name                      Title
Credit Requirements:
Bank:
Branch:
Address:
Phone:
Line of Credit:
Security:
Is Certified Chartered or Public Accountant employed to audit books?: Yes       No
Most recent Financial Statements (Balance Sheets, P & L, etc.) Will mail directly       Not Available
 
Principal Suppliers, Trade References, etc.
Supplier 1:  
Name:
Address:
Phone:
Fax:
Supplier 2:  
Name:
Address:
Phone:
Fax:
Supplier 3:  
Name:
Address:
Phone:
Fax:
Supplier 4:  
Name:
Address:
Phone:
Fax:
   
        

Submitting this form certifies the above information to be true and affirms that any credit given to me is extended upon the basis of such information.

The submission contents to the obtaining of credit and/or personal information as may be required at any time in connection with the credit hereby applied for or any renewal or extension thereof and to the disclosure of any credit information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations.


 
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