Confidential Credit Application
Client Information
Applicant: Phone: ( ) -
Business Type: Fax: ( ) -
Address: City:
Prov: Postal Code:
Residence Ph: ( ) - Cell Ph: ( ) -

Other Owners / Partners Name:
Title: Ph: ( ) -
Cell: ( ) - Fax: ( ) -
Address: City:
Prov: Postal Code:
Main Contact Name: Ph: ( ) -
Alternative Contact Name: Ph: ( ) -
Credit References
Name Phone Address Title
1. ( ) -
2. ( ) -
3. ( ) -
4. ( ) -
Bank Information
Bank: Bank:
Branch: Branch:
Phone: ( ) - Phone: ( ) -
Contact Name: Contact Name:
Account #: Account #:
Transfer of ownership on all products and merchandise does not occur until such time as products or merchandise are paid for in full. Sales terms are all accounts payable net 30 days from date of invoice. Late charges may apply. All information provided on this application will be treated as confidential and will not be divulged unless written approval or request is made by the applicant to management of King Cinema Services Ltd.
Upon completing this form, press the "Create Application" button, this will produce a final
copy of the application. Print and Sign the application and fax it to (780) 455 - 0663 for processing.
Thank You. - King Cinema Services
Copyright © 2004 King Cinema Services. All rights reserved.