A. L. Pray & Son Co. Ltd. Customer Application

Customer Credit Application

In order to establish an account with us, please fill out the application form below.

Last Name:
First Name:
Middle Initial:
Date of Birth (dd/mm/yy)
Social Insurance Number:
Address:

Residence Status: Do you
Rent or Mortgage Payment:
Time at current residence:
Phone Number:
Email:
Current Employer Name:
Position Held:
Phone Number:
Time On Job:
Name Of Bank:
Bank Phone Number:
Current Credit Outstanding:
1 . Name/Company:
Balance Owe:
Monthly Payment:
2 . Name/Company:
Balance Owe:
Monthly Payment:
3 . Name/Company:
Balance Owe:
Monthly Payment:
Please List If Others:

A. L. Pray & Son Potato Co. Ltd.
84 Salmonhurst Road

New Denmark, NB E7G 3W4
email: alpray@nbnet.nb.ca

Drummond ...................(506) 473 - 1086

Residence.....................(506) 553 - 6731

Stephen Pray................(506) 553 - 6696

Stephen Pray Cell........(506) 473 - 0188

Grand Falls Region Communities and Businesses