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Tell us about your company:


Company Name: *
Address: *
City: *
Province / State: *
Post/Zip code: *
Country: *
Phone: *
Email Address: *
Fax: *
Department: *
# of Employees : *
PST Exemption #/GST Rated: *
PO Req'd: *
How did you hear about Mills?: *
Purchasing Contact Name: *
Purchasing Contact Email: *
Accounts Payable Contact Name: *
Accounts Payable Contact Email: *
Shipping Address (if different from above): *
Please set up my online account with following email address: *
How would you like us to invoice you?: *
On Account: ( Invoices with goods Invoices by email)
Credit Card: