Account Application

Mailing Address:

Phone

Fax

Billing Address:

Primary Contact:

Name:

Title:

Email:

Phone:

Principal(s):

Name:

Title:

Name:

Title:

Which services do you expect to use?

Land

Court

Process Serving

Corporate

Other (please specify)

Are you an existing client of another agent?

How did you hear of WCTS?

Individual Submitting Application:

Name:

Title:

Phone:

Email:

By submitting this application, I confirm that I am authorized to do so on behalf of the firm noted above, and I hereby authorize West Coast Title Search Ltd. to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or any other direct business requirement. This consent is given pursuant to Chapter 2, Section 107 of the Business Practices and Consumer Protection Act, S.B.C 2004.

I have read the credit requirements, Terms and Conditions & Disclaimers and Limitations of Liability, and declare they are acceptable and agreed to by the applicant.