Business Identification Business Legal Name * Trade Name * Business Number (BN) * GST Number * Business Structure * ---Choose one--- Sole Proprietorship General Partnership Corporation L.L.P L.L.C L.P Joint venture Are you PST Exempt? * NO YES Business Phone Number * Alternative Phone Number Fax Number Business Email * In Business Since * Number of Employees * Business Address/Billing Address Street address * Town / City * Province * Select an option…AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Country / Region *Canada Postal code * Shipping Address Copy from Business Address Street address (optional) Town / City (optional) Province (optional) Select an option…AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Country / Region (optional)Canada Postal code (optional) Business Contact First name * Last name * A/P Phone * A/P Fax A/P Email * Purchased Order Required * Yse No ODP Certificate (Refrigerant Purchase) ✔ Upload success! Uploading License Number License Holder Name License Type Business Owner Business Owner - One First Name * Last Name * Title * ---Choose one--- Director Officer Partner Phone Number * Email * Business Owner - Two First Name Last Name Title ---Choose one--- Director Officer Partner Phone Number Email Subscribe to our newsletterYour personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy. Register
