YOU CAN FILL OUT THIS FORM IF YOU WANT TO BE CONTACTED BY DUTCH WESTERN CANADA CONNECTION; THE COMPANY FOR THE BETTER CONNECTION
Name of the Company
*
Sort of company. E.g.: Trucking Company, Construction Company, Airline, etc.
Address of the company
*
Postal Code
*
City
*
Province:
Alberta
British Columbia
Saskatchewan
NWT
Yukon
Other
Contact person:
*
Position in company:
*
Business phone number
*
Cell Phone number:
*
E-mail address:
*
What is the best way to contact you:
Business phone
Cell phone
e-mail
What kind of service can DWCC provide you:
How did you heard from us:
browsing on the internet
from another company
advertisement
article in the newspaper
other
Fields with a * must be filled out
THANK YOU FOR FILLING OUT THIS FORM