Wholesale Account Registration

BUSINESS DESCRIPTION

Legal Name of Business
Enter the legal name of the business
DBA Name
Enter if different than legal. Leave blank otherwise
Type of business
Select one from the dropdown menu
  • - select a option -
  • Sole Proprietor
  • Partnership
  • Corporation
  • LLC
Business License #
Enter your business license #
Operating since:
Use the provided calander
CRA/GST #
Enter your GST#
HST #
Enter your HST# if you have one
Your website URL
Enter your website if you have one

CONTACTS DETAILS

Toggle On if both address are the same
Leave off if different
Shipping/Delivering Address
street address
Postal / Zip Code
Enter you postal code
City
Enter your city
  • - select your country -
Billing Address
Enter your billing address if different than shipping. Leave blank otherwise
Postal / Zip Code
Enter your postal code
City
Enter your City
Province
Enter your province
  • - select your province -

Purchase Orders contact details

Who will send us orders?
Toggle On if same contact for both
Leave off if different

Accounting/Invoicing contact details

Where do we send invoices/receipts?

BANKING REFERENCE

TRADE REFERENCE

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