Credit Application

Open a trade account with FlashDash Electrical Supplies Ltd. Complete the application below. You can also call us at 604-373-4400 if you prefer to apply by phone.

Please note: to complete your application, you will need to provide a credit card (held on file for security) and one piece of provincial photo ID. Bring them to our store at 8456 129A St, Unit 23, Surrey, or call 604-373-4400 to give the card details by phone. For your security, please do not send card numbers by email.

1. Business information

Legal business name *

Operating / trade name

Business type *Select oneSole proprietorshipPartnershipCorporationOther

Years in business

GST / HST number

WorkSafeBC account # (if applicable)

Street address *

City *

Province *

Postal code *

Business phone *

Business email *

2. Contacts

Owner / principal name *

Title

Accounts payable contact

Accounts payable email

Accounts payable phone

Purchase order required on invoices?Yes, POs are required

3. Credit requested

Requested credit limit ($) *

Estimated monthly purchases *Select oneUnder $1,000$1,000 – $5,000$5,000 – $15,000Over $15,000

4. Trade references

Please list three suppliers you currently have credit accounts with.

Reference 1 – company *

Contact name

Phone *

Reference 2 – company

Contact name

Phone

Reference 3 – company

Contact name

Phone

5. Bank reference

Please do not enter account numbers here — we will contact you if they are needed.

Bank name *

Branch / address

Bank contact name

Bank phone

6. Authorization

Agreement *I certify the information above is true and complete, and I authorize FlashDash Electrical Supplies Ltd. to contact the references listed and obtain credit information to evaluate this application. I agree that approved accounts are payable in full within 30 days of invoice date.

Authorized signatory (full name) *

Signatory title *

Date *

Submit