New Supplier Submission Form

* Required information.

Company Information

Street/ Mailing address of office completing this questionnaire

Key Company sales contact

Head Office

Type of Company *

Please select one of the following:

Please indicate if you are a business where 51% of the ownership is by one or more of the following groups:

Does your company’s ownership structure include at least 25% ownership by an Aboriginal community or a member of an Aboriginal community?

Which Provinces / Territories / States / Countries, etc. are you licensed to do business in? *

Please select one or more of the following:





Health, Safety and Environment

Is your company a current subscriber to ISNetworld, Husky’s outsourced partner for supplier prequalification? Refer to www.isnetworld.com for information.

Please select primary category of business *

Please describe any innovative technologies & operational efficiencies that your company will be able to deploy for Husky:


You have 200 characters left.

Please describe the value-added services that your company can provide to Husky:


You have 200 characters left.