Fill out the form and click send at the bottom
to send it to our application department.
You can also print it out and fax or mail your completed form to…

Address:    Bob Lawrence Truck and Equipment Service
2563 Norris Rd Kelowna BC  V1X 7M1

Fax:            (250) 807-2961

Name
Address
City
Phone
Fax
Postal Code
Ship To Address
Principal's Name(s)
Contacts
Email/Fax Invoices At Point Of Sale To:
Email/Fax Monthly Statements To:
YOUR BANKING INFORMATION
Bank
Bank Phone Number
Bank Branch Address
TO HELP US EVALUATE YOUR BUSINESS
Number Of Trucks
Number Of Trailers
TRADE REFERENCES: (NO FUEL SUPPLIERS, CREDIT CARDS, OR DEPARTMENT STORES)
Name, Phone, Fax (1)
Name, Phone, Fax (2)
Name, Phone, Fax (3)
HST/GST Number
P.O. Required?
Amount Of Credit Requested
THE CUSTOMER: ____1. Authorizes Bob Lawrence Truck And Equipment Service to investigate the customer's credit history and ability to pay.____ 2. Acknowledges that the credit information provided on the credit application form and all other credit information given by the customer to Bob Lawrence Truck and Equipment Service in the course of the customer's application for credit is complete and accurate in all respects and that such information is being relied upon for the purpose of granting credit.____ 3. Acknowledges that Bob Lawrence Truck and Equipment Service Part's terms are net 30 days and that a credit charge of 2% per month (26.8% p.a.) is calculated on all amounts outstanding beyond 30 days.____ 4. All NSF cheques are subject to a $40 NSF fee.
Signed This Date: Day / Month / Year
Enter Your Full Name (Constitutes As A Signature)
Title