{"id":119887,"date":"2022-01-19T14:13:15","date_gmt":"2022-01-19T19:13:15","guid":{"rendered":"https:\/\/www.forpost-trade.ca\/?page_id=119887"},"modified":"2022-05-16T13:53:38","modified_gmt":"2022-05-16T17:53:38","slug":"credit-application-form-html","status":"publish","type":"page","link":"https:\/\/www.forpost-trade.ca\/qc\/credit-application-form-html\/","title":{"rendered":"CREDIT APPLICATION FORM"},"content":{"rendered":"\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f119069-o1\" lang=\"en-CA\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/qc\/wp-json\/wp\/v2\/pages\/119887#wpcf7-f119069-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"119069\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.0.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_CA\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f119069-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<style> .fpt_af {display: inline-block;} <\/style>\n<p><center><\/p>\n<p>Business Information<\/p>\n<p><label class=fpt_af> Legal Name of Business (required) <span class=\"wpcf7-form-control-wrap Legal_Name_of_Business\"><input type=\"text\" name=\"Legal_Name_of_Business\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Business Number (BSRN) (required) <span class=\"wpcf7-form-control-wrap Business_Number\"><input type=\"text\" name=\"Business_Number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Type of ownership <\/label> <span class=\"wpcf7-form-control-wrap Type_of_ownership\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Type_of_ownership\" value=\"Corporation\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Corporation<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Type_of_ownership\" value=\"Partnership\" \/><span class=\"wpcf7-list-item-label\">Partnership<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Type_of_ownership\" value=\"Proprietorship\" \/><span class=\"wpcf7-list-item-label\">Proprietorship<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Type_of_ownership\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span><br \/>\n<label class=fpt_af> Type of Business (Retail, Wholesale, etc.) (required) <span class=\"wpcf7-form-control-wrap Type_of_Business\"><input type=\"text\" name=\"Type_of_Business\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> In Business Since <span class=\"wpcf7-form-control-wrap Type_of_Business_In_Business_Since\"><input type=\"text\" name=\"Type_of_Business_In_Business_Since\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Name of Parent Company \/ Affiliate (if applicable) <span class=\"wpcf7-form-control-wrap Name_of_Parent_Company\"><input type=\"text\" name=\"Name_of_Parent_Company\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> In Business Since <span class=\"wpcf7-form-control-wrap Name_of_Parent_Company_In_Business_Since\"><input type=\"text\" name=\"Name_of_Parent_Company_In_Business_Since\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Principal Name \/<br> Responsible for Business Transactions <span class=\"wpcf7-form-control-wrap Principal_Name\"><input type=\"text\" name=\"Principal_Name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Title <span class=\"wpcf7-form-control-wrap Title\"><input type=\"text\" name=\"Title\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> E-mail (required) <span class=\"wpcf7-form-control-wrap Business_email\"><input type=\"email\" name=\"Business_email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Website (if applicable) <span class=\"wpcf7-form-control-wrap Web_site\"><input type=\"url\" name=\"Web_site\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-url wpcf7-validates-as-url\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>Billing Information<\/p>\n<p><label class=fpt_af> Street Address (required) <span class=\"wpcf7-form-control-wrap Street_Address\"><input type=\"text\" name=\"Street_Address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Unit \/ Suite \/ Floor Number<br> (if applicable) <span class=\"wpcf7-form-control-wrap Business_Number\"><input type=\"text\" name=\"Business_Number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> P.O.Box (if applicable) <span class=\"wpcf7-form-control-wrap P_O_Box\"><input type=\"text\" name=\"P_O_Box\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> City (required) <span class=\"wpcf7-form-control-wrap City\"><input type=\"text\" name=\"City\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Province \/ State (required) <span class=\"wpcf7-form-control-wrap Province_State\"><input type=\"text\" name=\"Province_State\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Postal Code \/ Zip (required) <span class=\"wpcf7-form-control-wrap Postal_Code_Zip\"><input type=\"text\" name=\"Postal_Code_Zip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Phone (required) <span class=\"wpcf7-form-control-wrap Phone\"><input type=\"text\" name=\"Phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Fax <span class=\"wpcf7-form-control-wrap Fax\"><input type=\"text\" name=\"Fax\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> E-mail (required) <span class=\"wpcf7-form-control-wrap Billing_email\"><input type=\"email\" name=\"Billing_email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>Credit Information<\/p>\n<p><label class=fpt_af> (If you would like invoice to be automatically paid by credit card) <\/label><br \/>\n<label class=fpt_af> Credit Card Number <span class=\"wpcf7-form-control-wrap Credit_Card_Number\"><input type=\"text\" name=\"Credit_Card_Number\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Exp. Date <span class=\"wpcf7-form-control-wrap Exp_Date\"><input type=\"date\" name=\"Exp_Date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>Trade References<\/p>\n<p><label class=fpt_af> Company Name 1 <span class=\"wpcf7-form-control-wrap Company_Name_1\"><input type=\"text\" name=\"Company_Name_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Company Name 2 <span class=\"wpcf7-form-control-wrap Company_Name_2\"><input type=\"text\" name=\"Company_Name_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Company Name 3 <span class=\"wpcf7-form-control-wrap Company_Name_3\"><input type=\"text\" name=\"Company_Name_3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Contact Name 1 <span class=\"wpcf7-form-control-wrap Contact_Name_1\"><input type=\"text\" name=\"Contact_Name_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Contact Name 2 <span class=\"wpcf7-form-control-wrap Contact_Name_2\"><input type=\"text\" name=\"Contact_Name_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Contact Name 3 <span class=\"wpcf7-form-control-wrap Contact_Name_3\"><input type=\"text\" name=\"Contact_Name_3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Address 1  <span class=\"wpcf7-form-control-wrap Address_1\"><input type=\"text\" name=\"Address_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Address 2 <span class=\"wpcf7-form-control-wrap Address_2\"><input type=\"text\" name=\"Address_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Address 3 <span class=\"wpcf7-form-control-wrap Address_3\"><input type=\"text\" name=\"Address_3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Phone 1  <span class=\"wpcf7-form-control-wrap Phone_1\"><input type=\"text\" name=\"Phone_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Phone 2 <span class=\"wpcf7-form-control-wrap Phone_2\"><input type=\"text\" name=\"Phone_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Phone 3 <span class=\"wpcf7-form-control-wrap Phone_3\"><input type=\"text\" name=\"Phone_3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><br \/>\n<label class=fpt_af> Fax 1  <span class=\"wpcf7-form-control-wrap Fax_1\"><input type=\"text\" name=\"Fax_1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Fax 2 <span class=\"wpcf7-form-control-wrap Fax_2\"><input type=\"text\" name=\"Fax_2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label> <label class=fpt_af> Fax 3 <span class=\"wpcf7-form-control-wrap Fax_3\"><input type=\"text\" name=\"Fax_3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>Terms and Conditions<\/p>\n<div style=\"text-align: left; width: auto; display: inline-block; font-size: 80%;\">\nThe undersigned hereby acknowledges and agrees as follows:<br \/>\n\u2022 Certify that the information contained herein is complete and accurate.<br \/>\n\u2022 All invoices are due upon receipt with seven (7) days net pay.<br \/>\n\u2022 The undersigned promises to pay all amounts owing to us on demand unless otherwise specified in the applicable invoice.<br \/>\n\u2022 Past due accounts are subject to cancellation of credit without notice.<br \/>\n\u2022 The undersigned authorizes FORPOST TRADE to contact credit references including the bank listed above to obtain<br \/>\nnecessary information concerning the undersigned and authorizes such references to release the requested information in<br \/>\norder to verify the information contained herein.<br><br>\n<\/div>\n<p><div id=\"cf7sr-69d7bd682cb92\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LflgWUdAAAAAHukttS3Lcp9FRRqXbTB1e1yR1gZ\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span><br \/>\n<input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<p><br><br>We are looking forward to doing business with you soon!<br \/>\n<\/center><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3703,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-119887","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"qc","enabled_languages":["ca","qc"],"languages":{"ca":{"title":true,"content":true,"excerpt":false},"qc":{"title":false,"content":false,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/pages\/119887","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/users\/3703"}],"replies":[{"embeddable":true,"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/comments?post=119887"}],"version-history":[{"count":3,"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/pages\/119887\/revisions"}],"predecessor-version":[{"id":126307,"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/pages\/119887\/revisions\/126307"}],"wp:attachment":[{"href":"https:\/\/www.forpost-trade.ca\/qc\/wp-json\/wp\/v2\/media?parent=119887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}