Cansec Distributor Application and Agreement Form

Thank you for your interest in becoming a Cansec authorized distributor. Please complete and submit the following application form to assist us in our evaluation of your company. All information received will be held in confidence.

* is required field.

Distributor Application
General Information
Business Type

Sales Manager
Accounts Payable
Business Operations
Systems Installed
30-Day Terms
Bank References

Please right click HERE to save link as ... / save target as ... , fill the Cansec Bank Reference Form and upload this completed form.

Trade References
Supplier 1
Supplier 2
Supplier 3