About the business
Company name
Company Phone Number *
DO NOT DELETE Separator_Field_for_Forms_2
Business address *
Is your company a Videotron Business customer? *
Yes
No
Account number
Contact Information
First Name *
Last Name *
Email *
Contact phone number (if different)
DO NOT DELETE Separator_Field_for_Forms
Please indicate your ACGQ membership number and the quantity of mobile lines desired
Let us know in the box above if you have specific needs.
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