New User Registration Form

New User Registration

Please complete the following form to register for a new User Name and Password. It may take a few days for us to verify the information you provide us. Once your account is set up, an email notification will be sent to you, and you will be able to log into our member-only sections.


Contact Person
	Title
	First Name		Last Name

Company
	Name
	PST Number *		Retailer: this is your Ontario Vendor's Permit Number
	GST Number *		Wholesaler: this is your Ontario Business Number
		*: You must provide us either PST or GST number to receive PST exemption.

Address
	Street Address
	City		Province/State
	Canada Post Code	-	US Zip Code
	Country		Other Post Code

Contact Info		Enter numbers only for phone numbers, eg. 4167360399. Do NOT include *,#,-, or other symbols.
	Phone Number		Extension
	Alt. Phone #		Extension
	Fax Number
	E-Mail

Login Account		Choose 4-20 non-blank characters for Login Name and Password, please note - CaSe is important!
	Login Name
	Password
	Repeat Password

Comments Or Additional Information