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application for billing Vancouver Boutique Hotel
To apply for a credit/billing account with the Wedgewood Hotel, please provide the following information:


 
First Name:
Last Name:
Email:
Name of Company:
Address of Company:
City:
Province/State:
Postal Code:
Telephone:
   

 

Date of Establishment:
Nature of Business:
Name of Parent Company (if applicable):
Form of Organization:
 
   


   
Name of Official Responsible For Payment of Account:
Title:
Bank Reference:
Account #:
Bank Address:
City:
State/Prov.:
Average Balance:
Bank Officer & Title:
   


Company Credit Reference #1 (Hotels Preferred):
Name:  
Address:  
City:  
Prov./State:  
Phone Number:  
Date of Function:  
Accounts Contact Name:  
   


Company Credit Reference #2 (Hotels Preferred):
Name:
Address:
City:
Prov./State:
Phone Number:
Date of Function:
Accounts Contact Name:
 

Company Credit Reference #3 (Hotels Preferred):
Name:
Address:
City:
Prov./State:
Phone Number:
Date of Function:
Accounts Contact Name:

Name and Title of Authorized Persons to Sign Charges for Billings to Company:
Name:
Title:
Name:
Title:
Name:
Title:
  All charges will be paid within 30 days from the date of charge to ensure that the account remains open.
 
 

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