New Customer Application
2% interest on overdue accounts
Please enter a Valid Email Address so you will be notified when your Application is Complete
Required if request is submitted by FK Staff
For FK Staff submissions. If an existing customer # and ship to # can be copied, enter both here. Enter NA for the other prompts in this form.
Purolator/UPS/FedEx account number. Along with account number indicate courier name.
Orders will be emailed to this address
Required if Payment Method above is Terms