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Create Profile

The form below allows you to create a profile which is necessary to place orders. This information is essential in order to access our services correctly.

The fields marked with * are mandatory.


Personal information
First name *
Last name *
Company  
Tax number  
Billing Address
Address *
Address (line 2)  
City *
Province/Territory *
Country *
Postal code *

 


Address  
Address (line 2)  
City  
Province/Territory  
Country  
Postal code  
Contact Information
Phone  
E-mail *
Fax  
Additional information
I would like to receive Wholesale Status  
Tax Number (Req'd for Wholesale Status)  
Username & Password
Username *
Password *
Confirm Password *
Image verification
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Clicking "SUBMIT" you agree with our "Terms & Conditions"
 
SubmitCreate Profile


Information

We recommend that your password should be at least 5 characters long and should be different from your username.

Your e-mail address must be valid. We use e-mail for communication purposes (order notifications, etc). Therefore, it is essential to provide a valid e-mail address to be able to use our services correctly.

All your private data is confidential. We will never sell, exchange or market it in any way.
For further information on the responsibilities of both parts, you may refer to our
Terms & Conditions 
 
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