CATALYST GROUP

NEW ACCOUNT APPLICATION

THANKS FOR YOUR INTEREST IN CATALYST GROUP!
This application is for businesses such as wholesalers, retailers, decorators, and similar accounts. If this describes your business, we’d love to have you on board!

COMPANY NAME *

LEGAL NAME (if different than operating name):

COMPANY STREET ADDRESS *

UNIT/APPT

CITY *

PROVINCE/STATE *

POSTAL/ZIP CODE *

COUNTRY *

COMPANY WEBSITE

COMPANY EMAIL *

COMPANY PHONE NUMBER *

HST/GST# *

ARE THERE MULTIPLE OFFICES/LOCATIONS? IF YES, PLEASE PROVIDE THE ADDRESSES FOR EACH LOCATION:

PREFERRED SHIPPING METHOD:

PREFERRED PAYMENT METHOD:

BUSINESS TYPE *

CONTACTS *

Buyer Name(S)	Buyer Email(s)	Phone# (Format: 123-456-7890)

Accounting Contact Name(S)	Accounting Email(s)	Phone# (Format: 123-456-7890)

WHO SHOULD RECEIVE THE LOGIN INFORMATION? (1 LOGIN PER COMPANY): *

CONTACT CONSENT

By providing these email addresses, you certify that you are an authorized representative of the company and that these addresses are provided for business purposes related to the professional roles of the recipients. Catalyst Group will send an initial operational email to these individuals with account information and provide them with the opportunity to manage their subscription preferences for future marketing related communications such as promotional offers, newsletters, product and service updates, event invitations, etc.

AUTHORIZED SIGNATURE (Enter your name, select a signature style, or draw your signature.) SELECT SIGNATURE STYLE

POSITION

COMMENTS