This form is for new Business Account requests only.

Whether you ship a lot or a little, across town, across Canada or around the world, Purolator has the resources, services and customized solutions to meet your business needs.

To open a Purolator List Rate Account, please complete the fields below.

* = required fields

Salutation	First Name*	Last Name*
Mr. Mrs. Ms. Miss Dr.
Company Name*		Relationship to Company*
		Owner Management Administration/Shipping             Other
Business Address*
City* Province* Postal Code*   Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Phone Number* Ext. Fax Number E-Mail Address* Mailing Address (if different from business address)   Mailing Address   City Province Postal Code   Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Language Preference*
English Français

Would you like to be automatically registered to ship using Purolator's easy to use online shipping?*
Yes No

Preferred Username:

I would like to receive future communications from Purolator for the purpose of providing me with special offers and information on Small Business related topics, and products and services.*
Yes No

Approximately how many shipments per month does your company make?*
1 - 4 5 - 10 11 - 15 16 - 25 26+

To help Purolator better understand your business needs, please answer the following questions.

1. What package destination do the majority of your shipments belong to?
Shipping within Canada Shipping to the United States Shipping Internationally Sending Batch Shipments

2. Is your Purolator Account for business or personal use?
Business Personal Both Business & Personal

3. Which of the following shipping methods will you use most?
Purolator Online Shipping & Drop-off your shipment Purolator Online Shipping & Schedule a pick-up or Pre-arranged pick-up Purolator Shipping Centres Purolator Drop Boxes Purolator Shipping Agents

Comments :


Your new account number, online username and password will be e-mailed to you within 24 hours.