Resaller or customer? Customer Reseller

Store hours: (optional)

Store phone number: (optional)

Contact name: *

Contact position: *

Username *

Email address *

Password *

Phone number *

Country *Select a country / region…CanadaUnited States (US)

State * Select an option…AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory

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Address: *

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Exempt number (please attach PST exempts document to this form): (optional)

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