3M Distributor Application For Canada

* Indicates Required Fields

Business

Legal Business Name *
Company name listed on purchase order(if different than the legal business name)

Address

Street Address *
City *
Province *
Postal Code *
Phone  Please enter numbers only, no characters. *
Fax  Please enter numbers only, no characters.
Owner’s Name *
Additional Contact Name

Billing

Billing Location
Business Name *
Contact Name *

Address *

PO Box

City *
Province *

Postal Code *

Phone  Please enter numbers only, no characters. *
Fax  Please enter numbers only, no characters.

Email

Accounts Payable Email Address. All invoices and statements will be sent to this address. *
Contact Email Address

Company Information


ASI#

PPAI#

PPPC#
Dun and Bradstreet#
Types of Business (Please check all that apply)
What primary industries do you service? (Please check all that apply)
What tools do you utilize to market products? (Please check all that apply)
3M Promotional Markets periodically sends marketing and sales related emails with distributor promotions, special offers, new product announcements and communications from your support team.

We want to respect your privacy but appreciate the chance to communicate with you.

Please enter your email address below to receive promotional emails from 3M Promotional Markets.

If you do not Opt-in, you will only receive emails with invoices and non-promotional distributor specific communications.
Enter your email address below to join our exclusive group of distributors receiving our promotional email and updates.

Communications will be sent by 3M Promotional Markets located at:
2020 Lookout Drive North Mankato, MN 56003.
You can opt out of these emails at anytime by clicking the opt out link at the bottom of our emails or contacting us to remove you from the list.

I, the undersigned purchaser, hereby certify that all of the above information pertaining to my business is correct. *
Digital Signature of Authorized Purchaser *
I have read and understand that completing and submitting the application does not guarantee approval to become a 3M Promotional Markets Distributor. I understand that I will be notified by email if my application is approved and I will receive an account number at that time. *
Notes
Signature of Purchaser *

Title of Authorized Purchaser *

Date *