APPLICATION

I/We here by request that CITY-CORE MESSENGER SERVICES LTD provide our company or person's name below a credit account subject to the terms outlined.

[Choose One]AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory

BILLING ADDRESS, IF DIFFERENT FROM ABOVE:

[Choose One]AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory

CREDIT REFERENCE (Firms presently extending credit to you in line with your requirements from us.

Submit

PLEASE NOTE:
The applicant is aware and fully undertands that:

• Variable billing charges a reduce upon receipt of our invoice and are past due fifteen (15) days thereafter and;
• Past due accounts are subject to cancellation of credit without notice and subsequent third party collection action, and;
• All charges must be paid before any services disputes can be solved and;
• A service charge of up to 2% (24% per annum) may be charged on past due accounts.