Caledon Referal Partner Remuneration
Program Application

To become a Caledon Partner simply complete the Referral Partner Remuneration Program ("RPRP") form below, and email the form. You may also fax the RPRP form to Charles Abraham, COO & CFO at (905) 702-9907.

You will also need to print and complete the Caledon Merchant Account Referral Partner Remuneration Agreement and fax this agreement to Charles Abraham, COO & CFO at (905) 702-9907.

Once your application has been accepted by Caledon, we will return a fully executed copy of the Agreement to you.

Referral Partner Remuneration Program ("RPRP") Form Corporate Information
Company Name:
Corporate URL:
Mailing Address
Address:
Address2:
City:
Province:	Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal/Zip Code:
Country:	Canada   U.S.
Primary Contact
First Name:
Last Name:
Title:
Phone #:
Extension:
Email:
Fax #:
Accounting Information
Pay to Name:
Address:
Address2:
City:
Province:	Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal/Zip Code:
Country:	Canada   U.S.
Accounting Contact
Check here if same as Primary Contact Information
First Name:
Last Name:
Title:
Phone #:
Extension:
Email:
Fax #:
Company Information
Primary Business:
Publicly Traded:	Yes
Trading Symbol:
Year Established:
Number of Full-time employees:
Number of Customers:
List the services you provide for your customers:

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