Customer Account Signup

Customer Account Application Form

Photo of an Emergency Lighting Contractor Welcome to our customer website account application page.
End Users, Distributers, Electrical contractors, fire and safety contractors are encouraged to sign-up for an E.L.S. Web Account in order to be entitled to preferred customer pricing.

Additionally, customers wishing to establish a commercial account with E.L.S. may indicate this on the application form below. Additional information and/or credit references may be required in order for our credit department to process your E.L.S. commercial account application. - A commercial account is not required to make purchases from this website, nor is it required to establish a 'Customer's Web Account'.

Please Note: E.L.S. Only serves the Canadian marketplace. Unfortunately we can not accept customers located outside of Canada nor will we ship product to customers located outside of Canada.

New Customer Registration


Company/Individual Information
Please complete the contact information for your new account. Required fields are denoted with a red asterisk *
Company Name:	*
Company Website Address:
Primary Contact First Name:	*
Primary Contact Last Name:	*
Alternate Contact Name:
Address:	*
City:	*
Province:	*
Country:	*
Postal Code:	*
Phone Number 1:	* Extension:
Phone Number 2:	Extension:
Fax Number:

Account/Login Information
The following information is required for authenticating you as a registered E.L.S. Customer when you sign-in to our website to browse our online catalogue and make purchases.
Email:	*
Confirm Email:	*
Password:	*
Confirm Password:	*
Do you have a special promotion code? If so please provide it in the field below.
Promotion Code:

Account Preferences & Other Information
Are you also applying to set up an E.L.S. Commercial Account?
From time to time we send out mailings to my customers and contacts informing them of special offers and new products. With your permission we would like to add your name to our mailing list. (Please Note: We do not share or sell our mailing lists and you may unsubscribe at any time). Yes, please add me to your mailing list.
How did you find E.L.S. ?:

E.L.S. | 114 Galaxy Boulevard, Toronto, Ontario M9W 4Y6 Canada | Tel: 1-800-267-2623 | Email: info@emergencylighting.ca

Website Development and Search Optimization by