WELCOME to B&E Electronics Ltd. - Credit Application

"Western Canada's Leading Stocking Electronic Distributor"

Monday, 06 February 2012 -- 10:55pm CST

APPLICATION FOR NET 30 DAY TERMS ACCOUNT

Company Information

Company Name:

Street Address:

City:

Province/State:

Postal Code:

A/P Contact:

Purchasing Agent:

Phone:

Fax:

E-mail:

Nature of Business:

Incorporated: Yes No

Years in Business:

Amount of
Credit Required:

GST Registration #:

PST Registration #:

JOIN MAILING LIST: No Via Email Via Fax

Trade References

#1 - Company Name:

Address:

City, State, Zip:

Phone:

Fax:

#2 - Company Name:

Address:

City, State, Zip:

Phone:

Fax:

#3 - Company Name:

Address:

City, State, Zip:

Phone:

Fax:

Bank References

Bank Name:

Address:

City, State, Zip:

Phone:

Fax:

Contact:

Account:

Preferred Invoicing Method (Choose One)

Email: Email address:

Fax: Fax number:

Postmail: Quantity of copies:

Branch Locations:

Calgary : 444 Manitou Rd. S.E.
Calgary, Alberta • Canada • T2G 4C4
Ph : (403)243-7211 • Fax : (403)287-1664 • Toll Free : 1-800-661-5619
Hours of operation : 8:00AM to 4:30PM, Mon. to Fri.
Email : calgary@be-electronics.com

Regina : 1433 Scarth St.
Regina, Saskatchewan • Canada • S4R 2G1
Ph : (306)757-9606 • Fax : (306)757-0148 • Toll Free : 1-800-667-3528
Hours of operation : 8:00AM to 4:30PM, Mon. to Fri.
Email : regina@be-electronics.com

Saskatoon : 2518 Faithful Ave. #103
Saskatoon, Saskatchewan • Canada • S7K 6R3
Ph : (306)249-5144 • Fax : (306)249-5177 • Toll Free : 1-888-249-5144
Hours of operation : 8:00AM to 4:30PM, Mon. to Fri.
Email : saskatoon@be-electronics.com