Wholesale Account Application

            contact name:
            Type of Business:
(Corporation, Partnership, Sole Proprietorship, etc)
            owner / president:
            Year Established:
            Resale Number:
            location or building:
            or province:


Please give us some information regarding the nature of your business, the line of products that you are interested in, the type of products that you carry, projected monthly purchases, a few suppliers that you are corrently purchasing from, etc.