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NEW ACCOUNT CREDIT INFORMATION

Choose from the following two options:

  1. To send us your credit application electronically COMPLETE the form that follows and click "Submit Your Application".

  2. Click here to download a PDF version of the application you can print, fill out and fax to us at:
    USA: 1-800-876-1164      Canada & International: 1-905-332-4993
** To avoid delays in processing your application, please ensure you complete ALL sections of the Credit Information Form. Thank you.

CREDIT INFORMATION SHEET
Please ensure that all fax numbers are provided
COMPANY PROFILE
Company Name:
Billing Address:
City:
Province:
Postal Code
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Date Incorporated:
President:
A/P Contact:
Email Address:
Telephone:
Fax:
G.S.T.#:
P.S.T.#:
Credit Required: $
Shipping Address:
(If different from above)
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Province:
Postal Code:


TRADE REFERENCES


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  Toll Free Tel: 1-800-263-8251    • International Tel: 1-905-335-1350
  Toll Free Fax: 1-800-876-1164    • International Fax: 1-905-332-4993
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