Wholesale Account Registration

6 Foster Stearns Road, Trenton, ON K8V 5R5
Unit 1-2610 Progressive Way, Abbotsford, BC, V2T 6H9

Tel: 613-394-7056 Toll Free: 800-856-7556 Fax: 613-394-4957
Tel: 604-852-1152 Toll Free: 800-563-1110 Fax: 604-852-1152

Account Registration
Are you an existing Mystical Distributing Wholesale Customer?*

YesNo
Customer Name/Legal Name*
Registered Business Number
Email Address*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Province
Postal Code
Phone Number
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Main Contact (First & Last Name)
Position/Title
Email Address
example@example.com
Telephone
Type of Business
Ship To:
Same as Above
Other Ship To Name
Ship to Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Credit Application
For Companies that would like to apply for payment terms please fill out the form linked below and submit it to creditdept@mysticaldistributing.com

Downloadable Credit Application
Credit Card Authorization Form
Please fill out the Credit Card Authorization Form if you’d like us to keep a secured copy of your credit card on file to expedite future orders. Submit the

Credit Card Authorization Form to: creditdept@mysticaldistributing.com

Downloadable Credit Card Authorization Form
Tax or Indian Status Exemption (we require a copy of the Status Exemption)
PST #
Status #
Display Fireworks User/Reseller Account
Are you interested in signing up for a Display Fireworks User/Reseller account?

YesNo
This account requires you to have a Valid Display Supervisor Certification and/or Valid Magazine Storage License on file.
Please upload a digital copy of your Valid Display Supervisor Certification and/or Valid Magazine Storage License.

Cancelof
Personal Guarantor #1

If the product is delivered, I/We agree to pay according to the indicated method and we also understand that I/we are personally responsible and liable for payment of all goods supplied by, or on behalf of Mystical Distributing Company Ltd.
1. Principal’s Name
Title
Signature

Clear
Date

MonthDayYear
Date
Personal Guarantor #2

If the product is delivered, I/We agree to pay according to the indicated method and we also understand that I/we are personally responsible and liable for payment of all goods supplied by, or on behalf of Mystical Distributing Company Ltd.
2. Principal’s Name
Title
Signature

Clear
Date

MonthDayYear
Date
Account Submission*

By submitting this form you have read and agree to the Terms and Conditions.I agree that I am 18 years or older to purchase dangerous goods such as Fireworks, Smoke, Fountains, and Sparklers.
Click here for our: Terms and Conditions
Mystical News

Yes, subscribe me to the Mystical newsletter.
Should be Empty:

Account Registration

Ship To:

Credit Application

Credit Card Authorization Form

Tax or Indian Status Exemption (we require a copy of the Status Exemption)

Display Fireworks User/Reseller Account

Personal Guarantor #1

Personal Guarantor #2