Canoe Member Finance Form - Canoe Procurement Group of Canada

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We’re excited you’re here!

Please fill out the form below with the most accurate and up to date information to help us better serve you.

Province/Territory

Organization Information

Organization Name

Type of Organization

Main Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Member Information

Member Contact – Name

Or Person completing form

Procurement Contact – Name

Member Contact – Email

Procurement Contact – Email

Member Contact – Phone Number

Procurement Contact – Phone

Billing Information

Account Payable Email to Receive Invoices

Up to three emails allowed

Address Procurement Organization

Account Payable Name

Account Payable Phone

Primary Shipping Information

Full Name

Date / Time

Position

Phone

Email

Organization

Primary Shipping Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please provide a physical address. Orders cannot be shipped to PO boxes.

Additional Shipping Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Legal Disclosure

Agreements and Acknowledgements

We are committed to protecting and respecting your privacy. We will only use your personal information to administer your account and provide the services requested.

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Organization Information

Member Information

Billing Information

Primary Shipping Information

Legal Disclosure

Agreements and Acknowledgements

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