Cansec Dealer Application and Agreement Form

Thank you for your interest in becoming a Cansec authorized dealer. 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.

Dealer Application
General Information
Business Type




Personnel
Owner/President
Sales Manager
Accounts Payable
Business Operations
Systems Installed
Payment
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