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Commercial Application

Thank you for your interest in Molyslip's quality line of lubricants. If you are an Automotive or Industrial reseller, or if you are interested in purchasing Molyslip products directly for use at your business, please fill out the form below. Upon submission it will be reviewed by a member of the Molyslip team who will contact you within 2 business days after receiving it.

If you are a retail customer please see our "Where to Buy" section. If you are unable to find a location in your area please contact us directly through our contact page and we will ensure your needs are taken care of.

About Your Company
Registered Legal Company Name      
Registered Address
City
Province/State
Postal/Zip Code
Country
Phone Number   
Fax Number
Website URL
 
About You - You will be our primary contact.
First Name   
Last Name   
Job Title   
Contact Email      
 
About Your Business
What is the nature of your business?
Are you a member of any buying group?   (Please list any that apply)
 
Do you qualify for tax exemption?
(Please complete PST exemption form)
Yes    No
Payment Method Preference
(Please note all accounts are COD/Credit Card until a credit application has been completed, reviewed and approved. The appropriate forms will be issued to you after receiving your Commercial Application)
  Cash/COD
  Credit Card (VISA or Mastercard)
  Open Account (30 day terms)
Type text
as it appears
    
 

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