Canada New Customer Request Form v2

Business Name*
Billing Address*

Street Address

Street Address Line 2

City State

Postal Code
Canadian Province*
Country
If you are trying to fill out a New Account form for US, please visit www.augustasportswear.com/new-account
If you are trying to fill out a New Account form for US, please visit www.augustasportswear.com/new-account
Upload initial opening PO below

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E-mail*
example@example.com
Phone Number*
Fax Number
ex. 123-456-7890
Shipping Address same as Billing Address?*

YesNo
FedEx Address Type*

ResidentialCommercial
Shipping Address*

Street Address

Street Address Line 2

City State

Postal Code
Canadian Province*
Country
If you are trying to fill out a New Account form for US, please visit www.augustasportswear.com/new-account
Tax Information:
GST/HST:*
PST/QST:*
Contact Name*
Contact E-mail*
example@example.com
Contact Phone Number*
Does your company resale apparel*

YesNo
Company Website
Social Media Links
Links or user name handles for your social media channels ie. Facebook, LinkedIn, Twitter, etc.
# of Employees
ASI Number
PPPC Number
Primary Type of Business (You must be in the resell business within the apparel industry.)*

Screen PrinterEmbroiderySporting GoodsPromotional ProductsTrophy & AwardsTeam Sports DealerDistributorUniform CompanyOutdoor
How Did You Hear About Us?
Do you have a CCM (Sport Maska) account number?*

NoYes
CCM Account Number
Invoicing Preference*

E-Invoicing (Note: If you select this option, you will receive a separate email confirmation that you will need to confirm.)Mail
Associated Membership
If you are a member of ASI, PPAI or Sage, please provide your #
Are you a part of a buying group?

NoYes
If yes, which buying group(s) are you a part of?

ADAAdventures in Adver.American DiversityAmerican Solution for BusinessASD PromotionB&NBluegrassBoundless NetworkBSN SportsConnect 2 OneCrown TrophyEducational Outfit.EmbroidmeExtra InningsFullarton GroupFully Promoted/EmbroidMeGeigerHaloInnerworkingsIpromoteuMLBNBSPlay It Again SportsPremier GroupProformaPROMO GROUPSafegaurd/DeluxeSports IncSports Excellence CorpSource for SportsUniversal Unilink Purchasing Assoc
Enter Contact Info of Business In-House Salesperson
Newsletter

Yes, please subscribe me to the Augusta Sportswear, Inc. newsletter.
The undersigned Purchaser (You) certifies that the product or services which will be purchased from Seller, are exempt from sales and use taxes in the province listed on this form in which delivery or performance of said purchase will be made for the following reason:*

Material for ResalePurchaser is a Non-Profit organizationProvince does not collect resale tax
Attach province form below:

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If you already have your extra province tax form filled out, please submit. You may also email GroupRegistration@augustasportswear.com at a later time. Cancelof
To apply for N30 credit terms, please complete the attached online form here once you have received your Welcome Letter with your account information.
Signature*

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