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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

Primary Contact

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

(*) Business type

Check all that apply


Your Business

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

(*) Billing Address

Shipping Address

Line 1:  
Line 2:
ZIP/Postal Code:  
Line 1:  
Line 2:
ZIP/Postal Code:  

Personilize Website

Show size/weight in    

Login Information

(*) Your email:  
(*) Password    
(*) Confirm password  
Your password should be at least 8 characters long.
For your safety and privacy, we suggest creating a strong alphanumeric password which uses a combination of upper and lower case letters, numbers and symbols (e.g. ! @ # $ *).

How did you find out about BMS Factory?


(*) Agree with the Terms of Use

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