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New Customer Verification Process

New Customer Form

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New Customer

All new customers please fill out our form: 

make sure to add the telephone number, first and last name of a customer that has used our service in the past.

 Once we verify you through your contact reference we will E-Mail you allowing you to place an order. 

Please call 204-558-5874 if you have any further questions

The Dr. Kush Company

Winnipeg, Manitoba, Canada