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TradeCard Application
Please complete the following application to sign up to the Heat-Line TradeCard program. You must be a licensed trades person.

* Required Fields
Full Name *
Company *
Contact Name *
Position
Address *
City / Town *
Province / State *
Country *
Postal or Zip Code *
Telephone *
Fax
E-mail
 
Sole Proprietor Partnership Corporation
  Trade: Electrical Plumbing Other
Trade License #: *
EXP: (mm/yyyy) *
PST Exempt #:
         (Ontario Businesses Only)
Type of Business: *
 
How do you wish to pay for product ordered?
VISA MasterCard
Comments
By typing "I agree" in the box below you agree to all the terms and conditions and all information you have given is accurate and correct to the best of your knowledge. You also acknowledge that Heat-line agrees that any information collected will not be sold or distributed to any third party. Information provided is for our records only. If you do not agree then this form will not be processed
Agree *
Full Name: *

Once finished please review and alter any incorrect information.
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