The Results Are In!
Precision Atlantic would like to...
Read more

Company Name:
Billing Address:
City:
Province:
Postal Code:
 
Accounts Payable Contact Information
Name:
Phone:
Fax:
Email:
 
How long in Business?
Nature of Business
Are Purchase Orders Required?Yes No
HST #
 
Bank Information
Name:
Contact:
Address:
Postal Code:
Phone #:
 
Trade References
Name of Firm:
Contact:
Phone #:
 
Name of Firm:
Contact:
Phone #:
 
Name of Firm:
Contact:
Phone #:

If my credit is approved, I agree to pay all invoices within the terms. I, the undersigned, authorize Precision Atlantic Media Group to verifiy the information contained in this request.

Name:
Signature (initials):
Title:
Date:




If you require assistance please call Carrie Chiasson at 902.442.4153
©2008 Precision Atlantic Media Group. Design by ThreeTon