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)

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 personal information for purposes outlined on this form. The personal information on this form is collected under the authority of the Municipal Government Act Section 3 and is protected under the provisions of the Freedom of Information and Protection of Privacy (FOIP) Act. If you have any questions about the collection, use and protection of this information, please 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.

The personal information on this form is collected under the authority of The City of Red Deer and the Freedom of Information and Protection of Privacy (FOIP) Act, Section 33(c). It will be used for the purpose of account administration, debt collection, credit checks, and customer verification and may be shared with other City departments for a consistent purpose. If you have any questions about this collection of information please contact the Accounts Receivable department at The City of Red Deer, 4914-48 Ave, Red Deer, AB, T4N 3T4 or telephone (403) 342-8110.