Request Form

Please fill all the required fields

First Name *

Last Name *

Phone *

Email *

Company

Address *

Province *

City *

Postal Code *

Product *

Sku *

Units *

Include extended warranty in quote:

Blue+ for 2 years

Platinum+ for 3 years

Decline

Product Link

Is this a commercial or residential Address? *

Do you have a loading dock?

Do you have a forklift?

Is tailgate unloading required?

Is the address mentioned accessible by commercial delivery trucks? *

Is an appointment required? *

Preferred delivery dates and times (opening hours for delivery)

Provide contact name and number if client will not be present during delivery.

Comment

Where did you hear about us? *

I acknowledge that if the information provided above is incorrect or incomplete, it may result in a surcharge as levied by freight carriers and that I will be responsible for these extra charges