New Client Application | Centro Legal Works Inc.

What is the Name of your Company or Firm? *

Street Address *

Suite Number

City, Province *

Postal Code *

Phone Number

Fax Number

Website

Would you like to specify a different shipping address?

Yes

No

Shipping address (Street)

Shipping - City, Province

Shipping - Postal Code

Special shipping instructions?

Business Structure

What type of business are you in? *

Other Business Type

How did you hear about us?

Other referral source

Who will be the Main Contact Person? *

Title/Position

Phone Number *

Email Address *

Would you like to indicate a second contact person

Yes

No

Secondary Contact

Title/Position

Phone Number

Email Address

Would you like to indicate an Accounting contact person? *

Yes, see below.

No, use the contact(s) provided above.

Accounting Contact Person

Title/Position

Phone Number

Email Address (billing)

Account Payment options

Payment by cheque

Credit Card*

Direct Deposit

INTERAC e-Transfer (by email)

Other - to be determined with Centro CSR

Please download and complete the [Credit Card Authorization form]. This form can be faxed or emailed at any time, please continue to complete this application.

FAQ

New Client Registration

Step 1 of 2

FORMS_BACK_NOT_PERMITTED

Join Us Online

Centro Legal Works Inc.

Main: 416.599.4040
Toll-free: 1.877.239.6616
Email Us

What do you want to do?

Centro Legal Works Inc. Your Search and Registration Specialists

FAQ

New Client Registration

Step 1 of 2

FORMS_BACK_NOT_PERMITTED

Join Us Online

Centro Legal Works Inc.

Main: 416.599.4040 Toll-free: 1.877.239.6616 Email Us

What do you want to do?

Centro Legal Works Inc. Your Search and Registration Specialists

Main: 416.599.4040
Toll-free: 1.877.239.6616
Email Us