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Please fill in the following fields, read the terms and conditions, print the form and agreement out, sign at the bottom of the form, and fax to: 604-270-3827. You will receive a reply within 2 business days via e-mail. Please note that the bank info, and trade references fields are optional. You do not have to fill those in. There is a US$50 fee for setting up your account. When approved, we will bill you for the US$50 fee. The US$50 fee is credited back to you in your first order (any quantity). As well, please mail a signed copy of this form and agreement to: Oxygenergy
Electronics Inc. |