Request an Envelope

If you have difficulty getting to one of our sponsor locations, please fill out this form and we will mail you a prepaid envelope.

First Name (required)

Please enter your First Name

Last Name (required)

Please enter your Last Name

Phone Number (required)

Please enter a valid Phone Number

Email Address (required)

Please enter a valid Email Address

Address (required)

Please enter your Address

City (required)

Please enter your City

Province (required)

Please select your province

Postal Code (required)

Please enter your valid Postal Code

If you are having difficulty submitting this form, please call 1-833-554-5020 and we’ll be happy to assist.