Products & Services
Please select one or more products or services that we can extend you credit toward:
Individual to Contact re : Payment:
First Name:
Last Name:
Email:
Area Code/Telephone #:
Business Information:
Legal Name of Business:
Trade Name (if any):
Business Type:
Corporation Partnership Sole Owner
Date of Establishment:
Website (if any):
Is your company a subsidiary of another company?:
Yes No
If Yes, Provide Details:
Have the principles of the company ever been in bankruptcy proceedings?:
Is your address owned or rented?:
Owned Rented
Ownership Information: Principle Owner:
Job title:
SIN #:
Home Address:
Credit Line Requested:
Name of Former Employer (if in business for less than 2 years):
Banking Information:
Bank:
Branch:
Account #:
References:
Please list 3 major credit references where credit is currently extended:
Name:
Address:
Contact:
Area Code/Telephone:
Heating Oil Delivery Information:
Help us by filling in as much as you know about your heating system.
Current/Previous Fuel Supplier:
Fuel Type:
Tank Size:
Number of Tanks:
Tank Location:
Location of Fill Pipe:
Vent Alarm:
Yes No Don't Know
Do you have alternate Fuel Source?:
Type:
Can heavy trucks use your driveway?:
Approximate quantity of fuel currently in your tank:
First Delivery Required:
Delivery Type:
Automatic Will Call
Cardlock Information:
Number of Cards Needed:
Gas
Diesel
Both
All information provided to The Sarjeant Co. Ltd. ("Sarjeant") will be kept in confidence and used by Sarjeant for reasonable purposes in connection with granting and considering credit and providing services and materials (i.e. credit evaluation, billing, customer service). Personal information will be governed by the Personal Information and Electronic Documents Act.
DO YOU AGREE WITH THE ABOVE TERMS AND CONDITIONS?
Yes
For printable PDF versions of the Credit Applications, please follow the links below to the appropriate form, then complete and fax to (705) 728-8643. If you have any questions please call (705) 728-2460.
Commercial Fuel Application
Commercial Credit Application
Barrie Headquarters
15 Sarjeant Drive
Barrie, ON
PO Box 277, L4M 4T2
L4N 4V9 (Courier Only)
Tel: (705)728-2460
Toll Free: (800)461-8475
Fax: (705)728-8643