Credit Card Authorization Form

Please click the image below to launch our Credit Card Authorization Form to remit payment for orders placed through email or phone. This form is not necessary for clients who are placing orders directly online.

Once the form is completed, please submit the form by email to sales@cantexdistribution.com, or by fax to (905) 374-8231. Once we receive the Credit Card Authorization Form, our customer service staff will process payment for your order and send it to the warehouse for processing.

Please save the completed form to your desktop before sending by email or fax. If it is not saved to your desktop, you may risk losing data.