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Canada T2E 6J7 Telephone: (403) 207- 6034; Facsimile: (403) 207- 6074 MATERIAL RETURN AUTHORIZATION FORM Instructions to customer: 1. Please refer to CMS policy on the return of goods (found at http://www.chiefmedical.com/node/84 2. Call 403.207.6034 or toll free 1.866.620.6034. Speak with a customer service re.

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