Become a Dealer

Thank you for your interest in our products! We are looking forward to learning more about your business.

Please complete the form below and we will evaluate your application promptly. Please note that we must wait for references to be returned before we can approve any new accounts.

If you have any additional information please include it below or feel free to call us!

Company information
-
Company Name*
Business Structure *
Number of Years in Business*
Billing Address *
City*
Province*
Postal Code*
Phone Number*
Fax Number
Email Address*
PST #
GST #
Shipping Address (if different from billing address)
Products of Interest and Expected Volumes *
Your Company Contacts
+
Primary Contact
Name *
Last Name*
Email *
Account Payable
Name *
Last Name*
Email *
Purchasing Contact
Name *
Last Name*
Email *
Banking Details
+
Bank Name *
Address *
City*
Province*
Phone*
Business References
+
Reference #1
Name*
Phone*
Fax
Email
Reference #2
Name*
Phone*
Fax
Email
Reference #3
Name*
Phone*
Fax
Email
Additional Information (Optional)
Acknowledgement
AGREEMENT *

Due to our territory agreement all OREGON® products must be shipped within BC or YT. If you have requested shipping to a province other than BC or YT and have ordered OREGON® products they will be removed from your order.