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  • UOMA New Brunswick - Collector registration application form

  • ******* IMPORTANT NOTICE TO READ BEFORE FILLING THE FORM *****

    Before filling the collectors registration application form, please make sure you have completed, signed and initialized every page of your Collectors Agreement and that you have the following documents in PDF format: said Collectors Agreement, your Civil and environment insurance certificate and the government issued operation permit(s) (if applicable). ALL ABOVE MENTIONED DOCUMENTS MUST BE ATTACHED TO THE FOLLOWING COLLECTORS REGISTRATION FORM. 

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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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