We are updating our customer records and need your response

We need the following information to update your records. As always, we thank you for your business and for taking the time to complete this short form.

Business Name/Customer Name
Account #
HST/GST Registration #
Email Address for Statements:

NOTE: A small $2.00 charge for mailed statements may be implemented in the coming months.

NEW!

We are excited to offer a new service for our customers and their staff, and family and friends. We would like to send you promotions, flyers, limited time offers, coupons, product updates, upcoming events and seminar information, on a regular basis.

If you would like to receive these emails, please check the box below and add your statement email address if applicable below, and provide all additional email addresses you want to be added to this mailing list.

Email address(es)

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