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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 name and number 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

204-558-5874