Omnisource Technologies inc - Online Account Application

Signup Form

Omnisource Technologies inc is a leading manufacturer and distributor of replacement batteries and accessories for two-way radio. Access to our website is partly restricted because we do not sell to the public and the pricing information herein is confidential.

If you are a reseller, please fill out the form below to apply for a Omnisource Technologies inc online account and have full access to our site.

Company's Information

Registered Name
Telephone
Business Type
Owner Name
How long the company has been in business	years
Invoice send method

Billing address

Shipping Address
(Same as Billing address )

Street
City
Postal Code
Province

Street
City
Postal Code
Province

Tax Exemptions

If you are a canadian company and you are exempt from a tax listed below, please indicate it and send us, by fax, the appropriate certificate.
	GST		PST		RST

Buyer's Information

Name		Email
Telephone	Ext
Fax
We accept Visa, Master Card and American Express