North Shore Tobacco Inc. - Register for Access

Business Contact Information

Business Name * : Operating As * : First Name * : Last Name * : Phone * : Email * : Business Address *:

Street Address *:
City * :
State / Province :
Postal Code *:
Country *:

Business is registered as *: Names of President, Partners or Owners *: Description of Business *:

Permit Information

Vendor's Permit # (for Alberta enter N/A)*:

Vendor's Permit Issuing Government / Branch :

Tobacco Permit # :

Tobacco Permit Issuing Government / Branch :

Wholesaler Permit # :

Wholesaler Permit Issuing Government / Branch :

Tax Collector Permit # :

Tax Collector Permit Issuing Government / Branch :

Business Number *:

Business Number Issuing Government / Branch :

Other :

Vender's Permit Issuing Government / Branch :

Account Information

Password *: (Minimum 7 Characters. Must contain one upper case, one lower case and one number.) Confirm Password * : Date of Birth *:

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Comments

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The undersigned represents that the information given above is true and correct. The undersigned agrees to allow North Shore Tobacco Canada Inc. to collect and retain information as necessary in performing business functions. North Shore Tobacco Canada Inc. (NSTC) shall not distribute information unless under obligation of law. The applicant has read and understands the terms of business of NSTC Inc. which can be found in our Terms and Conditions

North Shore Tobacco

Business Registration Form

Business Contact Information

Permit Information

Account Information