My Account Profile - Korg Canada

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Dealer Name *

Requested By *

Dealer Email Address *

PO (reminder, -DTC at the end)

Model Number *

Select Your Sales Representative *

Consumer Name *

Street Number *

Street Name *

Street Name Suffix *

Unit Number *

City *

Province *

Consumer Postal Code *

Consumer Phone Number *

Dealer Notes

Dealer must check agree to the following 4 conditions *

Condition 2 *

Dealer agrees to relay all information to the consumer and engage them with any communication regarding this order

Condition 3 *

Dealer agrees to collect the GST and appropriate Provincial taxes for the destination province

Condition 4 *

The requested product is more than $150 and is verified to be in stock with the dealer availability report