Canada New Customer Request Form v2

Business Name*
Billing Address*

Street Address

Street Address Line 2

CityState

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

CityState

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
GST/HST or 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
Primary Type of Business (You must be in the resell business within the apparel industry.)*

Screen PrinterEmbroiderySporting GoodsPromotional ProductsTrophy & AwardsTeam Sports DealerDistributorUniform CompanyOutdoorOther
How Did You Hear About Us?
Associated Membership
If you are a member of ASI, PPAI or SAGE, please provide your #
Are you a part of a buying group? (not required)

NoYes
If yes, which buying group(s) are you a part of?
Enter Contact(s) who will correspond with ASB
Newsletter

Yes, please subscribe me to the Augusta Sportswear, Inc. newsletter.
Reseller shall be required to enter into a Reseller Agreement with Supplier and Reseller shall not resell the Products to other dealers, retailers, customers who solicit order over the internet and Reseller expressly agrees that it will not sell to other dealers who sell, or Reseller has reason to believe sells Products to unauthorized resellers or outside the Reseller’s Territory as may be established from time to time. In the event that Reseller violates the foregoing requirement, Supplier shall have the right to immediately terminate the Agreement, cease shipments to Reseller, cancel all orders, and Reseller agrees to immediately cease its use of any Reseller intellectual property and return all such property to Supplier. Further, and because actual damages for breaches of this Agreement would be difficult if not impossible to quantify, in the event of such breach or breaches, Reseller agrees to pay to Supplier as liquidated damages and not a penalty fifty thousand and no/dollars ($50,000) for any such breach.

**PLEASE CLICK HERE TO DOWNLOAD THE RESELLER AGREEMENT FORM**
Upload signed Reseller Agreement form here:*

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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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