Dear Sir/Madam,

Welcome to our dealer application area. On the next page you will find a credit application for Euro Ceramics.

Some of the benefits on becoming part of Euro's dealer network include:

- account representation from a qualified ceramic tile professional
- access to Euro's exciting and extensive range of ceramic tile and accessory products
- a continuing partnership with Euro - Western Canada's leading distributor of ceramic tile

* Indicates a required filed

*Registared Name:
Operating Name (if different):
*Street Address:
*City:
*Postal Code:
*Phone:
Fax:
Cell:
*Billing Address:
*City:
*Postal Code:
*Form of Business:	Corporation
	Partnership
	Proprietorship
*Date Business Established (dd/mm/yy):
*Provincial Tax No.:
*Accounts Payable Contact:
*Name of Bank:
*Phone:
*Address:
*Contact:
*Acct.:
*Name:
*Address:
*Phone:
Fax:
*Name:
*Address:
*Phone:
Fax:
*Amount of Credit Required:

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