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TO REGISTER FOR ONLINE ORDERING PLEASE COMPLETE THE FORM and fax to 506-857-1709 or email to support@ctpdistributors.com

Visit www.ctpdistributors.com and start ordering today.

Customer: ______________________________________________________________________________________________ Location (City): _________________________________________ Branch No. __________________________________________ Contact Person: _________________________________________ Account #:__________________________________________ Phone No: ________________________________________ Fax No:__________________________________________________ E-mail Address (see CASL Agreement below) :______________________________________________________________________ Default Warehouse: Port Kells, Surrey, BC - Distribution Centre, 201-19315 96 th Avenue Calgary, AB - Regional Warehouse, Bay A-707 Barlow Trail SE Edmonton, AB - Distribution Centre, 12836-184 Street

Grande Prairie, AB - Regional Warehouse, 13313-100 th Street Whitby, ON - Distribution Centre, 1601 Tricont Avenue, Unit #3 Moncton, NB - Distribution Centre, 200 Horsman Road

IMPORTANT: To be added to our eNews list you MUST check the CASL Agreement box below. You can remove yourself from our mailing list at any time. CASL AGREEMENT Yes, please add me to your mailing list to receive monthly promotional offers and new product releases.

*For information about CASL Legislation go to http://crtc.gc.ca/eng/internet/anti.htm

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