www.Exports-from-Canada.com

Use this form to submit your business listing.
Please print out this form and fill in the blanks.
Then fax this form to our office at:
( 204 ) 895- 1980

Your Business 
Name		  
Your Business 
Address		  
Your Business 
Mailing Address		  
City  
Province  
Postal Code  
Country  
Your Contact 
Name		  
Your Telephone 
Number		    (       ) 
Your Fax 
Number		    (       ) 
Your Email 
Address		  
Your Web site Address 
( if applicable )		  
Authorizing Contact Name  
Authorizing Contact Signature  
Authorizing Contact Fax/phone number Phone # (    )                      Fax # (    )

After completion please fax this form to our office at:
( 204 ) 895- 1980