Credit Application

International
Isuzu
Idealease
Heli

Apply Online or Download Credit Application

Start your financing process with Lewis Motors Inc by submitting a quick online application or downloading our credit form. Our team reviews every application promptly and provides clear guidance on the next steps. If you have questions while completing your application, we are here to help.

General Information

Name

Phone

Mailing Address

Physical Address (If different from mailing address)

Business Information

For Business Accounts Only

Type of Business

Years in Business

Principal's Name(s)

Accounts Payable Contact

Contact Email Address

Personal Information

For Personal Accounts Only

Owner's Name

Owner's Date of Birth

Bank Information

Bank Name

Bank Phone Number

Bank Address

Bank Account Number

Trade References

Please provide three suppliers / services only. Credit cards will not be accepted.

1. Company Name & Address

1. Contact Email

1. Contact Phone Number

2. Company Name & Address

2. Contact Email

2. Contact Phone Number

3. Company Name & Address

3. Contact Email

3. Contact Phone Number

Order Information

Purchase order required?

Estimated Monthly Purchase ($)

The information on this credit application is collected in accordance with the Personal Information Protection and Electronic Documents Act (PIPEDA). Periodically, LEWIS MOTOR SALES INC. or LEWIS MOTOR SALES (NORTH BAY) INC. receives requests for credit information and the undersigned authorizes the release of such information as deemed appropriate by LEWIS MOTOR SALES INC. or LEWIS MOTOR SALES (NORTH BAY) INC.

I hereby make application for account privileges for my normal monthly purchases with the understanding that all charges are to be paid promptly on receipt, and if not paid by the 30th of the month succeeding date of invoice, account privileges may be revoked and interest charges on the past due balance at a rate of 2% per month. I understand that if account privileges are revoked the company may use the credit card(s) number(s) to pay for all invoices.

I affirm that the information set forth is in all respects true, accurate, and complete and is furnished with the intent that it be relied upon by LEWIS MOTOR SALES INC. or LEWIS MOTOR SALES (NORTH BAY) INC. approving credit to the undersigned and that no information has been withheld which might affect the decision of LEWIS MOTOR SALES INC. or LEWIS MOTOR SALES (NORTH BAY) INC. to approve the account. We (I) hereby authorize LEWIS MOTOR SALES INC. or LEWIS MOTOR SALES (NORTH BAY) INC. to obtain further information from credit references or credit bureaus, as is permitted by law.

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