Customer Profile Form

Company's Full Legal Name

Location of incorporation, or registration

Company’s business type

Company’s main address

Telephone number

Company website

GST # (must be associated with company’s name above)

PST # (if relevant and must be associated with company’s name above)

Order delivery address (if delivery will be required)

Name of purchaser

Purchaser’s telephone number

Purchaser’s email address

E-mail address for sending invoices (multiple addresses should be separated by a comma)

Accounts payable contact person

Accounts payable telephone number

Accounts payable email address

Preferred method of payment

Form completed by

date

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