Opening a Sansin Account | The Sansin Corporation

By establishing an account with Sansin, you gain access to our custom specification and maintenance programs for your Accoya projects and customers.

You can either print the PDF form and fax/mail it to Sansin, as indicated on the form. Or you can use the electronic form below. Any problems? Contact us at admin@sansin.com.

I am interested in:(Required)

Becoming a full-line Sansin distributor

Project-specific purchases

Representative's Name

Information submitted will be kept strictly confidential.

Business name(Required)

Fax number

Telephone number(Required)

Address

City, Province, Postal Code

Email(Required)

PST # (Canada Only)

Tax ID # (USA Only)

Please indicate your business structure:

corporation

partnership

proprietorship

If a corporation or a partnership: Please complete

Name of owners or directors

Personal Address (street name)

City, Province & Postal Code

Name of owners or directors 2

Personal Address (street name) 2

City, Province & Postal Code 2

Name of owners or directors

Personal Address (street name) 3

City, Province & Postal Code 3

If sole proprietorship or individual, the following statement is required.

The applicant consent: By clicking the box below, I hereby consent to a routine verification by the Sansin Corporation if necessary.

I consent

Applicant's name

Trade references:

Business name

Contact

Telephone number

Business name 2

Contact 2

Telephone number 2

Email 2

Business name 3

Contact 3

Telephone number 3

Email 3

Bank:

Bank name

Address

City, Province

Contact name

Account #

Expected credit requirements based on 30 day terms:

If amount exceeds $10,000 a copy of the financial statements may be required. Available:

Yes

Certification statement: In event this account becomes delinquent and is placed into the hands of a licensed collector or attorney for collection. By clicking the box below, I (we) agree to pay, in addition to the delinquent amounts and finance charges thereon, collection or attorney fees, including court costs, equal to 25% of the delinquent balance, or the maximum allowed under provincial/state law, whichever is less. Undersigned is Owner and/or Director of above named company.

I consent

Date

Name

Title