Heart Smart Foods Order Form

Order Form
Use the BACK and NEXT buttons to switch pages.

As you work, you can click the SAVE AND CONTINUE LATER button to save the form before submitting in order to complete it later. A saved form that is partially filled can be opened online later with your previous work intact and you can continue filling it out. Completed forms can be printed for your own records. Instructions and options for saving incomplete forms can be found on the Heart Smart Foods website.

(Note: The Customer Info page contains required fields. You can navigate the other pages of the form without these being filled, however they must be completed in order to submit the form.)

ORDERING CUSTOMER INFORMATION
Business name:*
Customer Number / Store ID:
As assigned to you by HSF when your account was created (e.g.HSF100).
Contact name:*

First NameLast Name
Phone number:*
Please enter a valid phone number.Format: (000) 000-0000.
Special instructions:
Please provide any special instructions or information we should be aware of that may affect this order (e.g. special accessorial services required, store closures, delivery access barriers, etc.)

ORDER SUBMISSION
Please note. Catalogue pricing is subject to change without notice and does not include shipping, accessorial, bottle recycling charges, or GST. Special terms for discounted or clearance items take precedence over general terms. Repacks are not guaranteed against damage. If account is overdue, order may be held until payment is processed

All new accounts will be on a Prepay, Credit Card, or C.O.D. basis, and liable for related charges, until credit is established.
Should be Empty:

Order Form