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  • Collector registration application form

    Collector registration application form

    New Brunswick
  • ******* IMPORTANT NOTICE ******

    Before completing the collectors registration application form, please make sure you have completed, signed and initialed each page of the Collectors Agreement and that you have the following documents in PDF format: the initialed Collectors Agreement, your Civil and Environment Insurance Certificate and Government issued Operation permit(s) (if applicable). All above mentioned documents must be attached to the following collectors registration form. 

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  • Products applicable to Atlantic Used Oil Management Association (New Brunswick)'s program originating from other provinces are NON-Atlantic Used Oil Management Association (New Brunswick) products.



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  • I, {signatoryName}, {signatoryTitle}, declare I am duly authorized for this purpose and certify that the information provided on this form is accurate.

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