Commercial Account Application - Basic
Please fill out this application to create a new commercial buying account with Oshawa Carpet One Floor & Home. This application is for a NON-CREDIT account, meaning that once approved you will receive preferential commercial pricing but payment will be based on our standard terms and be due at time of order. If you wish to setup a credit account, please fill out the "TERMS" application instead.
Sign in to Google to save your progress. Learn more
Email *
LEGAL BUSINESS NAME
*
DOING BUSINESS AS (DBA)
*
BILLING ADDRESS
*
SHIPPING ADDRESS
*
Business Phone # *
MAIN CONTACT FIRST & LAST NAME *
Main Contact Cell# *
Main Contact Email Address *
ACCOUNTS PAYABLE CONTACT FIRST & LAST NAME *
Accounts Payable Phone# *
Accounts Payable Email Address *
OWNERSHIP (NAME OR PARENT COMPANY, IF SUBSIDIARY)
*

FORM OF ORGANIZATION: (PLEASE CHOOSE)

*
PROVINCE INCORPORATED (IF APPLICABLE)
DATE INCORPORATED (IF APPLICABLE)
MM
/
DD
/
YYYY
HST NUMBER *
BY PRINTING YOUR NAME HERE YOU AUTHORIZE CREATION OF A COMMERCIAL ACCOUNT IN THE NAME OF THIS COMPANY AND AGREE TO ALL TERMS AND CONDITIONS OF SUCH ACCOUNT *
TITLE *
TODAYS DATE *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of carpetoneoshawa.com.

Does this form look suspicious? Report