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Dealer Register
Dealer Registration
The following information will allow C.P.D. to establish an account and prepare a program that will best suit your company. The following information will be kept confidential and will be used solely for internal C.P.D. usage. If you have any questions concerning the information requested, or would like to complete the form verbally, or would like to discuss it in more detail, please contact us at
sales@cpdcanada.com
or by
Web Form
or Fax at 1-800-901-2224. We can also e-mail you our special promo that is currently going on.
Please Note:
Registration only pertains to Canadian Customers.
*
donates required field.
Do you have a Sales Rep?
No Sale Rep
Aaron Steinberg
Bryan Jacobs
Joanne McClenaghan
Mayer Alexander
Rick Crawford
Special Accounts
Teresa Medved
*
Company Name:
*
PST Exempt #:
*
Must be a registered business to purchase product
Purchasing Contact:
*
Email Address:
*
Address:
*
Phone Number:
*
Fax Number:
How many locations do you have?
*
Which of the following best describe your business?
:National Chain
:Retail
:Merchant
:Distributor
:Catalogue
:Internet
How did you hear about us ?
How Long have you been in Business ?
Carriers that you currently work with:
Aliant
Amp'd Mobile
Bell
Fido
Koodo Mobile
MiKe
MTS Mobility
NorthernTel Mobility
Rogers
Sasktel Mobility
Solo Mobile
TELUS Mobility
Thunder Bay Mobility
Virgin Mobile