Account / Credit Application

Streamline your billing – use the form below to apply for a credit account with Reilly Transfer.

Company Information
Legal Name of Firm*
Type of Business (Industry/Category)*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email*
Billing Address
Address*
Same as Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Preferences
Do you use Purchase Orders (P.O.'s) for billing?*
- YES, we use P.O. numbers for billing
- NO, we don't use P.O. numbers
What is Your Preferred Method of Payment?*
Accounts Payable Contact Name
Accounts Payable Phone*
Accounts Payable Email*
Credit Reference #1 (Required)
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Reference #2 (Required)
Name*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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CALL OR EMAIL US FOR RATES

24 Hour Dispatch Line

Courier Services:

Local: 780.539.1313
Toll Free: 1.877.539.1312
Extension #1
itc@reillytransfer.com

Energy Services:

Local: 780.539.1312
Toll Free: 1.877.539.1312
Extension #2
hotshot@reillytransfer.com

Mailing Address:

PO Box 25289
Grande Prairie, Alberta
T8W 0G2

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