Applying to the Fidelity Program

Registration is as easy as 2 steps.

Step # 1 Personal Information:

Last Name : *

First Name : *

Gender :

Date of Birth : * YYYY/MM/DD

Email : *

Address

Line 1 : *

Line 2 :

Line 3 :

City : *

Province :

Postal Code : *

Step # 2 Additional Information:

These information will help us render a better service and give you access to promotions.

Driver Licence No. : ** Use this format for the Quebec driver's licence: A0000-000000-00

Failure to supply a driving permit number results in automatic ineligibility of a candidate to the Discount Plus Program. A candidate who is denied eligibility in these circumstances may nevertheless receive emails relative to the program but may not collect Discount Dollars.

Telephone (Home) : 514 1234567

Telephone (Office) : 514 1234567

Cellular : 514 1234567

Contact

I wish to receive promotional emails from Discount

I wish to receive promotional emails from Discount partners

* Required Fields

** Your driver license will be your User code.