Credit Application

If you're a trade customer and would like to apply for credit with WarmlyYours then please complete the form below in full and submit it. Our Accounting team will evaluate your application and contact you shortly.

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Company Name and Address

Fields marked with (*) are required.

Company Name *

Account Type *

Address *

City *

State/Province *

Zip/Postal Code *

Country/Region *

Billing Address

Same as company address.

Address *

City *

State/Province *

Zip/Postal Code *

Country/Region *

General Information

Annual sales *

Employees *

Stores *

Floor heating jobs *

Business start date *

Business description *

Doing Business As

Tell us the name your company does business as, if different than the company name.

Is merchandise for resale? *

Yes

Please Note: To qualify for tax exemption, please fill out form CRT61 and fax it to (800) 408-1100.

Federal ID Number or HST/GST Number *

US customers please provide your Federal ID Number, Canadian customers please provide your HST/GST Number.

Business type *

Proprietorship

Partnership

Corporation

Do you have a parent company? *

Yes

If yes, please provide parent company name and location.

Parent company details

Primary Contact

Primary contact

Name *

Phone