New Canadian Customer Form

Required Documents

Company Name

Invoice/Billing Address

Postal Code

REQUIRED: Billing email Address

Use this billing address for all locations?

Remit to (if Different)

Accounts Payable Contact

Payment Options REQUIRED

Wire Credit Card

CAD * USD * CAD USD

Bank Information

Banking Account Info

Customer Service Contact

Corporate Contact

Corporate Contact (additional)

Emergency Contact

Please Note: As a courtesy to you, Northstar will use your contact information to provide you with ongoing training and industry updates.

For any questions, please contact NSCanada@nsrecycle.com

Location contact*

Complete 1 per location

Location name*

Physical Address*

Hours

Days

Gate

Code

Special delivery instructions:

New Counterparty Form