Ownership Change

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Store Information - Step 1 of 3

Ownership Change Date

Contact for Store

First

Last

Type of Business

Store Name (Doing business as)

Company Legal Name

(Exactly as it appears on your business license)

Store Phone Number

Store Email Address

Email Business if

Store Street Address (Please include suite or unit number if required)

Store City

Store Province

Store Postal Code

HST/GST Number

Do you have a PST/QST Number? (For applicants in BC, SK, MB & QC)

Please provide your PST/QST Number

New Owner's Name

First

Last

Owner's Mobile Phone Number

Owner's Date of Birth

Owner's Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Owner's Email

(Please note that this email will be used to sign the retailer agreement through Adobe Sign)

Store Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

By checking this box, I agree to adopt the same services, fee structure (if applicable), and terms as those associated with the previous account under the former owner.

Please provide any additional notes or information you'd like us to include as we set up your account.

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