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glaliberte
2023-12-29T11:12:39-05:00
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Step
1
of
2
50%
Legal business name
(Required)
Doing business as
(Required)
Bill-to name
(Required)
Are you part of a buying group?
(Required)
Yes
No
Name of buying group
(Required)
Store #
Please enter your bill-to address details:
Address
Street Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Is your ship-to address the same as your bill-to address
(Required)
Yes
No
Address
Street Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Phone
(Required)
Mobile
Do you have more than one ship-to location?
(Required)
Yes
No
Address
Street Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Phone
(Required)
Mobile
TVQ licence no
(Required)
GST licence no
(Required)
HST licence no
(Required)
Accounts payable contact name
(Required)
Accounts payable phone #
(Required)
Name of owner
(Required)
Accounts payable email
(Required)
Type of enterprise
(Required)
Please select
Dollarstore
Hardware
Gift
Decor
Pharmacy
Wholesale
Food
Other
Your type of enterprise
(Required)
Buyer’s name
(Required)
NEQ Number
Business Reg/DNB #
(Required)
Buyer’s phone #
Business registration certificate
Accepted file types: jpg, pdf, Max. file size: 50 MB.
Province of registration
(Required)
Buyer's email for online purchases
(Required)
Do you have an existing account with us under a different name?
(Required)
Yes
No
Business name
(Required)
Danson account number
(Required)
Is your business a:
Please select
Residential Location
Storefront
Are purchase orders used?
(Required)
Yes
No
How did you hear about us ?
(Required)
Please select
Google
Word of Mouth
Facebook
Instagram
LinkedIn
In-Person Events
(Required)
I hereby certify that the above information is true and exact to the best of my knowledge.
(Required)
I understand that credit terms are subject to credit department approval.
Mobile main
(Required)
This is a required field. Please click below to validate your phone number.
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