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New Account Application Form

Please note that BMS Factory account privileges are for distributors ONLY.
You must have a legitimate business license and a Federal Tax ID number (for US customers).
International customers will be processed on a case-by-case basis.
Please fill out, submit the form below and email your Business Certificate or Tax ID to sales@bmsfactory.com

Login Information

(*) Your email:  
(*) Password    
(*) Confirm password  

Primary Contact

(*) First name:    (*) Company name
(*) Last name    Website:
(*) Phone    GST #
Fax    (*) Tax #

(*) Business type

Check all that apply


  

Your Business

How many years has your business been in operation?  
How many locations do you have?  

(*) Billing Address

Shipping Address
Line 1:  
Line 2:
Country:  
Province:  
City:  
ZIP/Postal Code:  
Line 1:  
Line 2:
Country:  
Province:  
City:  
ZIP/Postal Code:  

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