NHPDirect - Client Data Form
To be filled out by new clients working with NHPDirect
Email address *
Client Name (Legal) *
Date *
MM
/
DD
/
YYYY
Client Name to be used Online *
NHD Assigned ID
Complete Address, Phone, Fax *
Tax ID : GST / HST *
Tax ID : Provincial
Domain Name to be used *
Banking Information (Bank Name, Branch Name) *
Banking Information (Branch #, Transit #, Account #) *
Primary Single Point of Contact (Name, Email, Phone #) *
Contact for Operations (Name, Email, Phone #) *
Contact for Marketing (Name, Email, Phone #) *
Contact for Accounting (Name, Email, Phone #) *
Additional Notes
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