Credit Application

Let’s get started! ……

If you’re reached this form, you should have already have completed the Dealer Application. We thank you for taking the time to fill this Credit Application out and look forward to working with you as a partner!

"*" indicates required fields

Amount of Credit Requested*

Name of Business*

Email*

Phone*

Name(s) of Officers, Owners, Partners, Principals

1. Name*

Title*

Phone*

2. Name

Title

Phone

3. Name

Title

Phone

Bank Reference

Bank Name*

Contact Person*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Account Number*

Signature*

Authorized Signature to Obtain Reference

Date*

*In the event that payments are 45 days overdue, payment will be processed on Credit Card provided.*

Trade References

Please provide 3 Trade References within the Industry (DO NOT LIST Motovan or Importations Thibault as they do not provide references.)

1. Vendor*

Account Number*

Contact Name*

Email*

2. Vendor*

Account Number*

Contact Name*

Email*

3. Vendor*

Account Number*

Contact Name*

Email*

Signature*

Title*

Date*

Let’s get started! ……