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Customer Registration Form
Customer Registration Form
ABRAMS
P.O. BOX 366 Station A. Downsview, Ontario, M3M 3A8
416-398-2500 Fax: 416-398-6189
www.AbramsTowing.com www.AbramsTowing.mobi
Company Name *
City *
Address *
Postal Code *
Phone Number *
 
Fax Number *
 
Contact Name *
Email *
Nature of Business *
Date Established *
Business *
Principals
Name *
Title *
Name
Title
Name
Title
References
Suppliers Name, Address, Phone Numbers, Contact:
1. *
2.
3.
The undersigned warrants the truth and accuracy of the above information and hereby consents for Abrams Towing Services Ltd. to require a credit report on the above mentioned company and/or principals.
Applicant Name *
Position
Date *
Have you been in contact with an Abrams Sales Representative? *
If yes, what Sales Representative have you been dealing with?
Name:
If you require assistance in opening an account or would like to open an account without using this online service contact Ron Gallant @ 416-398-2500 ex 227 or Karim Essabhia @ 416-398-2500 ex 220.