• Please complete and submit this form. We will follow up with you within 2-3 business days of receiving your completed form.

  • Your personal information

  • Information on product for recompense

  • DD slash MM slash YYYY
  • Province and store name and/or provincial website purchased from:

  • DD slash MM slash YYYY
  • Accepted file types: jpg, png, webp, Max. file size: 100 MB.