Vendor Enquiries and Applications: Vendors: Donations & Giving: Welcome to LGHFoundation.com

Thank you for expressing interest in our Vendor’s Corner.

Submitting By Mail or Fax

Please print this form and complete as required and mail to:

Lions Gate Hospital Foundation
231 East 15th Street,
North Vancouver, BC,
V7L 2L7 Canada

Or fax to (604) 984-5786

Questions

If you would like more information on participating in the vendor program at the Lions Gate Hospital Foundation please contact:

Rebecca James
Fund Development Coordinator
Tel: 604-984-3864
Email: Rebecca

Vendor Information

Your Name:

Business Name:

Business Phone:

Your Phone:

Email:

Address:

City:	Province/State:
Postal Code/Zip:	Country:

Product Information
Detail products to be sold:
Have you sold at any other hospitals before? If so, please list:
What other venues have you sold these products at?
What is the price range of your products?
What are your anticipated daily sales?

References
Please list two references of other venues you have sold at:

Name:	Phone:
Name:	Phone:

Lions Gate Hospital Foundation
231 East 15th Street, North Vancouver, BC., Canada, V7L 2L7
Phone: 604-984-5785 Fax: 604-984-5786 Email: info@lghfoundation.com