L&M Supplier Details
Email address *
Welcome and thank you for coming!
Simply fill out the form with accurate information as this will be used for all business related happenings.
Company Name *
Your parent Company's name to be shown on your "About the supplier" page on our site.
Your answer
Canadian Business / Tax number *
Your parent Company's name to be shown on your "About the supplier" page on our site.
Your answer
First Name *
The Primary Contact's
Your answer
Last Name *
The Primary Contact's
Your answer
Phone Number *
The Primary Contact's
Your answer
The Address from which you will be shipping your products from
For the shipping company to pick up the orders
Street Address 1 *
ex: 43 Hill St
Your answer
Street Address 2 *
ex: Unit # or Suite#
Your answer
City *
Your answer
Province *
Postal Code/Zip Code *
Your answer
Country *
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