New Account Setup

Stevlin Design Enterprise

Thank you for visiting our new customer account setup page.
Please complete the form below to begin the process of setting up your account. One of our representatives will contact you with your account number or any further questions by the next business day.

If you require an immediate response,
please call 416 540-6781 and ask for Sales.


GENERAL INFORMATION
Contact Name:
Contact Telephone Number:
Contact Email:
Legal Company Name:
Address:
City:
State/Province:
Zip/Postal Code:
Telephone:
Fax:

FINANCIAL INFORMATION
Location Type:
Purchase Order Number Required for Billing?	Yes No
Preferred Billing Currency:	U.S. Canadian
Form of Business:
Number of Years In Business:
Branch Locations:	Yes No
Number of Employees at Your Location:
CEO Name:
CFO Name:
Accounts Payable Contact:
Accounts Payable Telephone:
Banking Institution Name:
Address:
Telephone:
Name of Banking Officer Familiar With Your Account:
Bank Account Number:
Credit Limit Desired:
Annual Transportation Budget:
DUNS Number: (optional)

Trade References;
(At least 2 should be transportation related)

1	Company Name:
	Address:
	Phone:	# Of Years :
2
	Company Name:
	Address:
	Phone:	# Of Years :
3
	Company Name:
	Address
	Phone:	# Of Years :
4
	Company Name:
	Address:
	Phone:	# Of Years :
5
	Company Name:
	Address:
	Phone:	# Of Years :
6
	Company Name:
	Address:
	Phone:	# Of Years :