Local supplies and materials order form

How to order for your local

The supplies and materials listed in this form are supplied to locals at no cost. Forms must be signed by your local Chair, Secretary-Treasurer, or Site Rep. Please coordinate with your local executives to avoid duplicate orders from the same local.

The items will be sent to the shipping address on your order form.

If you have any questions, please contact HEU's Mailroom at the Provincial Office at mailroom@heu.org or call 1-800-663-5813.

(Updated December 2023)

Name of Local Chair, Secretary-Treasurer or Site Rep

Facility name

Local Name

Phone number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Supplies and Materials Requested

Quantity

Contract