Become A Contractor test 2

BUSINESS NAME*

YEAR IN BUSINESS*

FIRST NAME*

LAST NAME*

EMAIL*

PHONE NUMBER*

About Your Company

COMPANY TYPE*

G.S.T NUMBER*

WEBSITE

ADDRESS*

APT, UNIT, BLDG, FL ...

CITY*

POSTAL CODE*

COUNTRY*

USERNAME*

PASSWORD*

CONFIRM PASSWORD*

COPY OF YOUR PHOTO ID *

COPY OF YOUR CURRENT BUSINESS LICENSE OR CERTIFICATE/PROOF OF INCORPORATION *

PLEASE LIST ALL AUTHORIZED PURCHASERS FOR YOUR ACCOUNT (First,Last name)

Interested in applying for a credit account?

DOWNLOAD CREDIT APPLICATION

Terms & Conditions

Upon approval of this application, contractor pricing will be extended to the customer subject to the following terms and conditions which the customer hereby agrees to:

All pricing and product information is to be kept confidential and used for business purposes only.
The customer is obligated to notify Rockland Landscaping Supplies Ltd in writing of any changes in ownership.
The customer is responsible for emailing accounts@rocklandsupplies.com to update any changes to authorized individuals.
Any exceptions to the Rockland return policy must have written authorization from Rockland Landscaping Supplies Ltd.
If your authorized purchasers change at any time, it is your responsibility to let us know.

By checking agree in the checkbox below, I agree that all information provided is correct and I agree with the terms and conditions listed within this application.

Thank you for your business, we look forward to working with you!

Terms & Conditions Acceptance* I agree