Credit Application

In order to open an account with Kelsea Sales, you must fill out a credit application. Please fill in all fields and submit. We will process your application and activate your account upon receiving your first order.

Business Name:
Business Address Line 1:
Business Address Line 2:
City:
Province:
Postal Code:
Number of Years in Business
Type of Business
e-mail address (optional)
Owner/Owners:
Accounts Payable Contact:

Phone #

Provincial Tax Exemption #:

Credit Reference #1:
City and Province
Phone Number:
Fax Number:

Credit Reference #2:
City and Province:
Phone Number:
Fax Number:

Bank Name:
Bank Address Line 1:
Bank Address Line 2:
Bank City:
Bank Province:
Bank Postal Code:
Bank Phone


I accept responsibility for all debts incurred by my business to Kelsea Sales and agree to the 1 1/2% per month (18%/annum) service charge that will be added to overdue amounts. accept do not accept Owner