Become a customer today!

Just fill out the Customer Application Form, print it, and fax it to us at 514.334.8695. A response will be delivered to you promptly by one of Atek’s Distribution Coordinators.

Please understand that by becoming a customer, you are agreeing to the Terms & Conditions of Atek Industries.


Open Customer Application Form



Dealer Application Form
Commercial/Personal Reference
Legal Name: 
Registered Name: 
Nature of Business: 
Years in Business: 
Principals/Officers: 
Federal Tax ID code(GST): 
Prov. Tax ID code(PST): 
Business Address: 
City: 
Province or State: 
Postal or Zip Code: 
Telephone Number: 
Fax Number: 
Email Address: 
Website URL: 
Parent/Affiliated Company: 
Banking Reference
Name of Bank: 
Telephone Number: 
Address: 
Account Number: 
Contact Person: 
Supplier Reference
Name: 
Contact Person: 
Telephone Number: 
Name: 
Contact Person: 
Telephone Number: 
Additional Comments: 




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