New account

Trade account application

For Canadian contractors and businesses only. Complete the form below and our counter will set up your account number, pricing tier and terms. Fields marked * are required.

Canada only · Accounts reviewed in Burnaby, BC

Step 1

Business details

Company name *Legal / registered nameBusiness number (BN)GST/HST numberYears in businessBusiness typeWebsite

Trades you work in

Step 2

Primary contact

Contact name *Title / roleEmail *PhoneMobile

Step 3

Billing address

Canadian addresses only.

Street address *City *Province *Postal code *Format A1A 1A1CountryShipping address is the same as billing

Step 4

Accounts payable

AP contact nameAP emailAP phoneEstimated monthly purchases

Step 5

Credit terms & references

Leave credit unchecked to open a prepaid account (credit card or e-transfer at the counter).

We're applying for net-30 credit termsTrade reference 1Company, contact, phoneTrade reference 2Trade reference 3

Step 6

Tax status & notes

We hold a tax exemption / resale certificateExemption or resale certificate numberHow did you hear about Deltaquip?Anything else we should know?

Step 7

Declaration

Authorized signer name *Signer titleI confirm the information above is accurate, that this business operates in Canada, and I authorize Deltaquip Supplies Ltd. to contact the references and bank listed to establish terms. *

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