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Sole Proprietorship Name. Business name will appear on all override cheques. Business Address City Prov. Business Number Postal Code E-Mail Address Home Phone Business Phone Fax Number Type of Business: (Please check appropriate entity type) Partnership Corporation Sole Proprietorship Other (Describe) EACH OWNER, PARTNER, SHAREHOLDER, OFFICER AND DIRECTOR OF THE BUSINESS ENTITY AS SET FORTH BELOW (AND OTHERS AS MAY BE APPENDED TO THIS DOCUMENT) (THE SIGNATORIES ) HEREBY AGREES T.

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