XCMG Canada Information Submission

Canadian Dealer Information

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First Last

Dealer Name(Required)

Email(Required)

Phone(Required)

Title(Required)

Remittance Information

Upload Remittance Instructions

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Disbursement Email

Banking Account Number

Canadian Clearing Code

Marketing & Sales Information

Upload Your Logo For Distributor Branded Marketing Materials

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Upload a List of Your Sales Representatives (Include Name, Email, Phone, Title)

Max. file size: 50 MB.

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