Vendors Application

Instructions:

Please supply full company name as it would be shown on an invoice from the supplier.
Address – Usually the address indicates the area of service. If the address does not convey this or the contractor wants a limited service area (i.e. Thornhill & Richmond Hill only), please indicate that on the address line.
Please supply the main phone number for the supplier’s place of business (not an individual sales rep cell phone)
If the company has a web-site, please list it. Otherwise, we can insert an email address; however, it should be a general address, not one specific sales rep.
Provide a contact name and email or fax number. These will not be published on the Supplier List but may be required to update information from time to time.

* Required Fields

Supplier’s Name *

Address and/or Service Area *

Telephone *

Fax

Website or Email Address *

Contact Name *

Contact Email *

For Direct Deposit Payment Method

Void Cheque *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx xml.

WSIB Information

Current WSIB Clearance *

Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml.

Account Number *

Firm No. *

Insurance Information

Insurance Certificate *

Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml.

Name of Broker *

Phone No. *

References

Two (2) Letters of Reference – 1 Reference must be from a Crossbridge Manager

Reference Letter 1 *

Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml.

Reference Letter 2 *

Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf html odf pdf doc docx ppt pptx xls xlsx xml.

Environmentally Friendly?

Does the company provide a line of environmentally-friendly products or services? *

Yes

Discount

Does the company offer a discount to Crossbridge buildings? *

Yes

What is the discount for Crossbridge buildings? *

Skilled and Trusted Contractors Delivering Value

Vendors Application