CategoriesBecome a customer[fancy_heading h1=”1″ icon=”” title=”Become a customer”][/fancy_heading]Do you want to become a customer? To get started, fill out this form! Create your Aurelia business account Access your member portal on our e-commerce platform. First Name* Last Name* Company* In which province are you located?* Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories, Nunavut & Yukon Nova Scotia Ontario Prince Edouard Island Quebec Saskatchewan Position* In which industry do you operate?* Automotive Beauty & Cosmetics Construction & Mining Dental Food products Health & Safety Homecare Medical Sanitary Scientific & Research Veterinary Wholesale Other Is this inquiry for everyday usage or for resell purposes?* Everyday usage in your company Resell purposes What kind of products are you looking for? Nitrile Gloves Latex Gloves Vinyl Gloves Face Masks Sterilization Pouches & CSR Wraps Other Disposable Protection Products How often do you usually purchase disposable products for your company?* Weekly Monthly Quarterly Annually What volume of Aurelia products would you usually be looking for in a single order?* Less than 50 boxes per order (e.g. less than 5,000 gloves) Between 50 and 500 boxes per order (e.g. between 5,000 and 50,000 gloves) Over 500 boxes per order (e.g. over 50,000 gloves) Professional Email Address* Professional Phone Number* Message (optional) Sign me up on the Aurelia newsletter Submit my request