Dealer Locator

Dealer Location Request Form

To help us find the nearest/most convenient dealer for you, we would like to find out some information about you. Please fill out the following form and we will contact you.

    First Name*

    Last Name*

    Address*

    Address Line 2

    City*

    State/Prov.*

    Country*

    Zip/Postal Code*

    Phone Number*

    Email Address*

    Which Product(s) are you interested in? (click any that apply)

    If you want information on a specific product, select from the list

    What are you looking to buy :

    Are you comfortable with buying an Air Filter Canada product online?

    The Following is OPTIONAL information:

    Do you or anyone in your family suffer from:

    Where did you hear about Air Filter Canada?

    Is this purchase going to be for:

    If Residential, will it be used in an:

    Thank You

    (the form will send as an e-mail through your default e-mail program, you may need to hit ‘send’ from there)