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Indigify Vendor Verification
Company Name
Address
*
City
*
Province
*
Postal Code
*
Phone Number
*
What is your email address
*
Business Type
*
Is your company 51% or more Indigenous owned? (Yes or No)
*
Indigenous Ownership %
*
Names of Owners, Percentage owned, and their Nation/Indigenous Membership
*
Upload Shareholder or Partnership Agreement
*
Click to choose a file or drag here
Please upload your Nation/Indigenous Membership (status card, etc)
*
Click to choose a file or drag here
Is your business registered with CCIB? (Yes or No)
*
Upload CCIB Certificate
*
Click to choose a file or drag here
Is your business registered with the Federal Indigenous Business Registry? (Yes or No)
*
Provinces and Territories you ship to?
*
Provinces and Territories you ship to?
BC
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
Newfoundland & Labrador
Prince Edward Island
Nunavut
Northwest Territories
Yukon
International (USA, etc?)
Do you agree to our
Terms of Service
,
Acceptable Use Policy
,
Privacy Policy
, and
Vendor Participation Agreement
?
*
Do you agree to our Terms of Service, Acceptable Use Policy, Privacy Policy, and Vendor Participation Agreement?
Yes