Request to open an account

Request activation of your account by completing the following form:

Company name *

Address *

City *

Province *

Postal code *

Phone *

FAX

Is the delivery address different from the postal address? *

Yes

Tailgate

Delivery to tailgate

Are you the company's owner? *

Yes

First name *

Last name *

Email *

Title *

Do you want to add another person?

Add an extra person

In operation since

Activity field *

Mandatory purchase order number *

Yes

Annual purchases planned

Would you like to have access to our transactional site? *

Yes

Comments

Legal agreement *

I agree that the terms of payment are net on the 10th of the following month.