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Get Manitoba Authorization To Solicit Funds Form

E of Proceeds spent in Manitoba percent Percentage of Proceeds spent in Canada percent PLEASE ATTACH A COPY OF YOUR MOST RECENT FINANCIAL STATEMENT TO THE APPLICATION. CONTACT INFORMATION 12 Last Name First Name Position Area Code/Telephone City Province Postal Code Address (TWO SIGNATURES WITH SIGNING AUTHORITY REQUIRED BELOW) WE HEREBY CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION AND ALL INFORMATION PROVIDED IN SU.

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