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New Account Application Form

Before filling out this application form, you must have a PST and/or GST number or we will not be able to complete the account setup.

Organization: GST #
Primary Contact: PST/Vendor #:
Business Phone #: Business Fax #:
Home/Cell Phone #:

E-mail Address:
Company Website URL:
Billing Address:  Shipping Address: 
Type of Business (check all that apply):
Video Store Retail Mail Order Baskets
Other Web Home Parties Distributor
How many years has your business been in operation?:
How many locations do you have?:
How did you find out about BMS Enterprises?:
How can BMS Enterprises help your business?:
I have read and agree with the terms specified in the Customer Policies

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