Zei Media Plus Inc

Credit application


Business information		Bank information
Business name		Bank
In business since		Account #
Address		Contact
City		Phone
Province
Postal Code
Phone
E-mail
Business Fax
Website
QST
GST


Business References
Contact		Fax
Name		Phone

Agreement
Administrator		Title

How did you hear about us :


I herby authorize my bank to provide all the neccessary credit information to Zei media plus inc. Marchandise remains the property of Zei media plus Inc. until final payment of notice.