Account

To apply for an account at Blackstone, simply fill out and submit the form shown below. This is a secure site. All information will be safeguarded and kept strictly confidential.

Business Name

PST/HST

Federal ID

Phone

Fax

Years in Business

CorporateLimitedPartnershipOther

Mailing Address

Address

City

Postal/Zip

State/Province

Country

Shipping Address

Enter if different from Mailing Address above.

Street

City

Postal/Zip

State/Province

Country

Finance Information

Account Payable

Phone

Fax

Bank Name

Bank Address

Bank Contact

Preferred Courier

Name

Account #

Phone

Industry References

Company

Address

Phone

Fax

Company

Address

Phone

Fax

Please leave this field empty.

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Account

Mailing Address

Shipping Address

Finance Information

Preferred Courier

Industry References

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