Credit Application

Customer Registration: WESTERN PRESSURE CONTROLS 2005 Ltd.
10021 56 ave, Edmonton, Alberta, Canada, T6E-5L7.
Tel (780) 437-3615, EMAIL: accounting@westernpressure.com

This form is designed to accurately and confidently setup our customers shipping and billing accounts/profiles and will be used to determine eligibility for extended credit and payment terms. You may have been asked by one of our team to complete this form providing a complete and accurate database to better serve you and to avoid potential delays or otherwise costly delays. The information provided will remain confidential and only used for internal purposes.

Company Information
Contact Name

Billing Address

Shipping Address
Bank Reference
Trade References


Additional Comments / Information
I am interested in receiving newsletters, promotional offers, tech info, etc. from Western Pressure Controls in the future
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.
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