Information

Credit Margin Required:
Company Name:

  Corporation Partnership Proprietorship

Address:
City:
Province:
Postal Code:

Main Phone:
Web Site:

Business Type:
Years in Business:

Applicant Information

Applicant Name:
Phone:
Title:
E-mail:

Corp Officer Name 1:
Title:

Corp Officer Name 2:
Title:

Corp Officer Name 3:
Title:

Accounts Payable Officer:
E-mail:

Email Address to Send Invoices and Statements:

How Did You Hear About Us?

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Who to Contact About Purchasing Our Services?

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Phone:
Position:
E-mail:

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Dominion Blue Information

What services are you interested in?

Custom Signage
Outdoor / Indoor Signage and Banners
New Condo Presentation Centre Graphics & Displays
Retail and Business Point of Purchase Materials & Displays
Trade Show / Finishing and Other Display Products
Scanning / Cloud Based Document Management
Large Format and Superwide Colour Printing
Small Format Colour Printing
Copy Centre / Bindery
Colour CAD Plotting
B&W CAD Plotting

Trade References

Trade Name:
Address:
Phone:
Email:
How long dealing with?

Trade Name:
Address:
Phone:
Email:
How long dealing with?

Trade Name:
Address:
Phone:
Email:
How long dealing with?

Financial Information

Bank Reference

Name:
Branch:

Purchase Order Required?

  Yes No

Tax Numbers

GST:
PST:

By submitting this form, I/We make application for open terms and certify that the information given for the purpose of opening this account is true. I/We authorize verification of the above facts. I/We accept the Vendor's privilege to charge interest on all overdue accounts.