New Account Form

To open an account and to get set-up with a UserID and Password for our online catalogue please fill out the form below. Please fill in all applicable fields including a valid e-mail address otherwise the form won't be sent.

Please note we do not sell to end users. You must have a valid business number and are planning on reselling the products you buy from us. If you are an end user please contact us at 1-800-668-2377 and we can refer you to a local retailer

Business Information:

Corporate Name:
Name under which business operates:
Street Address:
City:
Province:
Postal Code:
Business Registration Number:

 

Contact Information:

Telephone:
Fax:
E-mail:
A/P Contact:
Purchasing Contact:
Owner's Name:
Home Phone Number:
Home Fax Number:
Home E-mail:
 

Additional Details:

Type Of Business:
Business Operates From

Shipping Preference:
Will you accept backorders?
Would you like access to the Online Catalogue?
Would you like to be sent our Catalogue Request Form to order our print catalogue?
Method Of Payment:

*For Net 30 terms we require you to fill out our separate credit application.  Opening orders are payable by cash, cheque, or credit card only.

Additional Comments