Account Opening Request:

"*" indicates required fields

Step 1 of 3

Choice of organization type

Type of organization*

Establishment name

Information about the applicant

Please provide the applicant’s information. All communications related to this account opening request will be sent using this contact information.

Your Name*

Firstname Lastname

Your function*

Your E-mail*

Organization information

Name of the organization*

Billing address*

Address City Province Postal Code

Nature of activities*

In business since*

In what year was this organization established?

GST Number*

QST Number*

Estimated Annual Volume of Trips*

Please indicate the number of trips you expect to make each year with Orléans Express.

Accounts Payable Manager

Manager’s Name*

Firtstname Lastname

Manager’s Email*

Ex : info@orleansexpress.local:4343

Manager’s Phone Number*

References and suppliers

To process your request, two supplier references must be provided.

Company Name (Reference 1)*

Name*

Firtsname Lastname

E-mail*

Phone number*

Address of reference 1*

Postal address Address line 2 City Province Postal code

Company Name (Reference 2)*

Name*

Firtsname Lastname

E-mail*

Phone number*

Address of reference 2*

Postal address Address line 2 City Province Postal code

Credit Check Authorization*

I hereby authorize Keolis Canada and its subsidiaries to conduct a credit investigation to verify the company's creditworthiness. This process may include, but is not limited to, checks with the credit bureau, the suppliers listed in the form, and the banking institution.

Confirm and submit

Attention: After verifying the information provided, your access to the corporate microsite will be sent to you within 5 business days.

Confirmation*

By checking this box, you confirm that you have acknowledged this deadline.

This field is for validation purposes and should be left unchanged.

Account Opening Request:

Choice of organization type

Information about the applicant

Organization information

Accounts Payable Manager

Banking information

References and suppliers

Confirm and submit

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Account Opening Request:

Choice of organization type

Information about the applicant

Organization information

Accounts Payable Manager

Banking information

References and suppliers

Confirm and submit

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