Order Form

*Email Address:

*First & Last Name:

*Your Phone:

Business Name:

If applicable

Business Phone:

If applicable

First Nation Community:

If applicable

Status Card #:

If applicable

Alternative Phone:

If applicable

Fax Number:

If applicable

*Address:

Location of Project:

If different than above address

*Products Requesting:

Lumber & Building Materials

Windows & Doors

Roofing, Siding & Insulation

Flooring

Moulding & Millwork

Plumbing & Electrical

Kitchen & Bath

Furniture

Generators

Appliances

Sporting Goods

Commercial Fishing

Freestanding Range (coil, smooth, white, stainless, self clean, manual)

Mattresses (Twin, Double, Queen, King)

Tools & Hardware

Seasonal Products

BBQ

Norseman Structures

Other

Include specific sizes/needs in other section.

Comments:

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Office Use: Please leave empty