Please fill out this form in order to open an wholesale account. Please note that an initial order of $500.00 is required and a minimum annual purchase amount of $5000.00.
Compagny Name *
Contact / Owner *
Provincial Business No. *
Phone *
Phone 2
Fax
E-Mail *
Web site
Adress *
City *
Province QC ON AB SK NF BC NB NS NT NU PE MB *
postal Code *
Country Canada États-Unis France *
Default Carrier FedEx Groud Xpressposte Pick-up Postes Canada Accéléré *
