Retailer Direct Shipping Registration Form

We are pleased to offer direct shipping services exclusively for retailers in Saskatchewan and Manitoba. Complete the form below to register for seamless, direct deliveries right to your store, ensuring you have what you need, when you need it.

BILLING INFORMATION

Company Legal Name

Company Head Office Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Company GST Number

CONTACT INFORMATION

Primary Contact

First Name

Last Name

Phone

(###)

###

####

Secondary Contact

First Name

Last Name

Phone

(###)

###

####

If you have multiple retail locations, please select one of the following options:

One invoice per order (multiple stores/orders on one invoice)

One invoice per store (each store order is invoiced separatly)

STORE REGISTRATION

Please fill out the following for each retail location.

1. Store Name

Store Contact

Name, Phone Number, Email

Store Address

Special Instructions

2. Store Name

Store Contact

Name, Phone Number, Email

Store Address

Special Instructions

3. Store Name

Store Contact

Name, Phone Number, Email

Store Address

Special Instructions

4. Store Name

Store Contact

Name, Phone Number, Email

Store Address

Special Instructions

5. Store Name

Store Contact

Name, Phone Number, Email

Store Address

Special Instructions

LICENSE DOCUMENTATION

Please be prepared to submit a copy of the SLGA (Saskatchewan Liquor and Gaming Authority) Permit for each retail location listed in your application. We will request these documents as part of the confirmation process for your application. Ensuring you have these permits ready will expedite the confirmation and enable us to proceed with setting up direct shipping to your stores.

Retailer Direct Shipping Registration Form

BOLD GROWTH INC.

Site 207 COMP 19 RR2

SASKATOON, SK, S7K3J5