diff --git a/forms/lnp_canada.rb b/forms/lnp_canada.rb
new file mode 100644
index 0000000000000000000000000000000000000000..76d061156939ef800dd8d0bb4fb667fb25827b64
--- /dev/null
+++ b/forms/lnp_canada.rb
@@ -0,0 +1,12 @@
+form!
+title "Bring your own number to JMP"
+instructions <<~I
+	To port this number, we must know the name of the carrier you're porting away from.
+I
+
+field(
+	var: "LosingCarrier",
+	required: true,
+	type: "text-single",
+	label: "Name of losing carrier"
+)
diff --git a/lib/port_in_order.rb b/lib/port_in_order.rb
index bbbe31fbfb678010796b13e56ecbdd52781d0077..5030fc0e621c7223dab086e1d2c699288ba9a63c 100644
--- a/lib/port_in_order.rb
+++ b/lib/port_in_order.rb
@@ -1,14 +1,33 @@
 # frozen_string_literal: true
 
 class PortInOrder
-	def initialize(params)
+	using FormToH
+
+	def self.parse(customer, form)
+		params = form.to_h.slice(
+			"BillingTelephoneNumber", "Subscriber", "WirelessInfo"
+		)
+		# If the zip has anything that's not a digit, assume Canada
+		if params.dig("Subscriber", "ServiceAddress", "Zip") =~ /[^\d\s]/
+			Canada.new(customer, params)
+		else
+			new(customer, params)
+		end
+	end
+
+	def initialize(customer, params)
 		@params = params
+		@params["CustomerOrderId"] = customer.customer_id
 		@params["SiteId"] = CONFIG[:bandwidth_site]
 		@params["PeerId"] = CONFIG[:bandwidth_peer]
 		@params["ProcessingStatus"] = "DRAFT"
 		@params["Subscriber"]["SubscriberType"] ||= "RESIDENTIAL"
 	end
 
+	def customer_id
+		@params["CustomerOrderId"]
+	end
+
 	def loa_authorizing_person
 		"%s %s" % [
 			@params.dig("Subscriber", "FirstName"),
@@ -26,4 +45,27 @@ class PortInOrder
 			}
 		end
 	end
+
+	def message(order_id)
+		url = "https://dashboard.bandwidth.com/portal/r/a/" \
+		      "#{CONFIG[:creds][:account]}/orders/portIn/#{order_id}"
+		"New port-in request for #{customer_id}: #{url}"
+	end
+
+	def complete_with
+		EMPromise.resolve(self)
+	end
+
+	class Canada < PortInOrder
+		def message(order_id)
+			"#{super} (canadian port from #{@losing_carrier})"
+		end
+
+		def complete_with
+			yield(FormTemplate.render("lnp_canada")).then { |form|
+				@losing_carrier = form.field("LosingCarrier").value
+				self
+			}
+		end
+	end
 end
diff --git a/sgx_jmp.rb b/sgx_jmp.rb
index 9bcfebbf260d1b664a6d99096a7b29bf9f7b70bf..7b6a6db32a35fae716013fc6422f5bd5228f1d3b 100644
--- a/sgx_jmp.rb
+++ b/sgx_jmp.rb
@@ -728,27 +728,23 @@ Command.new(
 	"Port in your number from another carrier",
 	list_for: ->(**) { true }
 ) {
-	using FormToH
-
 	EMPromise.all([
 		Command.customer,
 		Command.reply do |reply|
 			reply.allowed_actions = [:next]
 			reply.command << FormTemplate.render("lnp")
 		end
-	]).then do |(customer, iq)|
-		order = PortInOrder.new(iq.form.to_h.slice(
-			"BillingTelephoneNumber", "Subscriber", "WirelessInfo"
-		).merge("CustomerOrderId" => customer.customer_id))
+	]).then { |(customer, iq)|
+		PortInOrder.parse(customer, iq.form).complete_with do |form|
+			Command.reply { |reply|
+				reply.allowed_actions = [:next]
+				reply.command << form
+			}.then(&:form)
+		end
+	}.then do |order|
 		order_id = BandwidthIris::PortIn.create(order.to_h)[:order_id]
-		url = "https://dashboard.bandwidth.com/portal/r/a/" \
-		      "#{CONFIG[:creds][:account]}/orders/portIn/#{order_id}"
 		BLATHER.join(CONFIG[:notify_admin], "sgx-jmp")
-		BLATHER.say(
-			CONFIG[:notify_admin],
-			"New port-in request for #{customer.customer_id}: #{url}",
-			:groupchat
-		)
+		BLATHER.say(CONFIG[:notify_admin], order.message(order_id), :groupchat)
 		Command.finish(
 			"Your port-in request has been accepted, " \
 			"support will contact you with next steps"