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Sommaire des achats

#	Description	Qté	Sous-total
	Sous-total :		$0.00

1
Certificate

2
Establishment

3
Billing

4
Payment

5
Confirmation

First Name *

Last Name *

Postal code *

Establishment no.1

Name of the establishment *

Type of establishment *

Number of units *

Postal code *

Establishment no.2

Name of the establishment *

Type of establishment *

Number of units *

Postal code *

Establishment no.3

Name of the establishment *

Type of establishment *

Number of units *

Postal code *

Establishment no.4

Name of the establishment *

Type of establishment *

Number of units *

Postal code *

Establishment no.5

Name of the establishment *

Type of establishment *

Number of units *

Postal code *

*Required field

Montréal: 514-521-8356, ext. 504
Elsewhere in Québec: 1-800-567-8356, ext. 504

Monday to Friday: 9 a.m. to 5 p.m.
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