Online Credit Application

  • To ensure your request can be processed, please complete all sections of this form. Required fields are marked with *
  • To expedite processing, please ensure that all applicable areas of this form are fully and accurately completed.
  • Questions can be directed to Accounts Receivable by email at accountsreceivable@reddeer.ca or by calling 403-342-8110.
Account Information
Type of Account (check all that apply)

Please Note: Business Licences are required for anyone providing a service or operating within City limits including contractors coming in from out of town. For more information please visit www.reddeer.ca/business/operating-a-business

Principal Information
Credit Reference Information
Credit Information
AUTHORIZATION TO COLLECT, USE AND DISCLOSE PERSONAL AND COMMERCIAL INFORMATION

I/WE the applicant understand payment is due 30 days from date of invoice, after which time unpaid invoice balances will be subject to a monthly interest charge of 1.5% (18% per annum). The City has the right to suspend or terminate a credit account if payment is overdue.

By signing this Credit Application, I/WE hereby agree and authorize that: The City of Red Deer may obtain such credit reports or other information that is deemed necessary in connection with the establishment and maintenance of a credit account; and The City of Red Deer may disclose information collected from the applicant or other sources concerning the applicant or its business to other municipal departments and credit reporting agencies with whom the applicant or its business has or may have a business relationship.

I/WE hereby confirm that the information given for the purpose of obtaining credit is true and correct and it is agreed that notification will be given to The City of Red Deer of any material changes of such information.

The City of Red Deer is collecting this personal information for the purpose of account administration, debt collection, credit checks, and/or customer verification. This collection is authorized by section 4(c) of the Protection of Privacy Act and section 3 of the Municipal Government Act. For questions about the collection of personal information, contact Accounts Receivable at 403‐342‐8110.

Applicant's Declaration

I acknowledge that, by typing my name below, I am the applicant for the service and will be the account holder, and I agree to be bound as if I had endorsed this document with my own handwritten signature. I further agree that all the information on this application is true, accurate and complete to the best of my knowledge.