BUSINESS REGULAR INFORMATION
LEGAL BUSINESS NAME
*
TRADE NAME
*
CONTACT NAME
*
PHONE NUMBER
*
ACCOUNTS PAYABLE EMAIL
*
BUSINESS ADDRESS
*
SUITE / UNIT #
*
CITY / TOWN
*
PROVINCE
*
- - Choose One - -
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
POSTAL CODE
*
OFFICE PHONE NUMBER
*
BILLING INFORMATION
PREFERRED 4 DIGIT TELUS PIN (Cannot start with 0)
*
EMAIL ADDRESS FOR E-BILLING
*
Credit Card # (Mandatory for Initial Order. Your CC will be charged unless approval has been given by management)
*
Expiry Date
*
Credit Card 3 to 4 Digit Security Code
*
BUSINESS CREDIT INFORMATION
INCORPORATION NUMBER
*
INCORPORATION DATE
*
SKY WIRELESS SALES REP
*
Please Select
Craig Woods
Darryl Sandilands
Peter Gaylor
Steve Spizzirri
Kevin Johnson
Pamela Geer
Keli Tomlinson
Lee Merten
No Sales Rep
Number of Units To Be Activated
*
I consent approval for TELUS to perform a soft credit check in order to open my account.
*
YES
