BUSINESS 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
Diarmuid Sheehan
Peter Gaylor
Steve Spizzirri
Kevin Johnson
Crystal Sime
Pamela Geer
Keli Tomlinson
Lily Din
Peter Muthar
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
