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Credit Card Number All payments must be in Canadian funds. Card Holder s Name as on card American Express Exp. mm / yy Post-dated cheques will not be accepted. Card Holder s Signature Amount Refunds will be prorated on a yearly basis Name Please print Signature Date DD / MM / YYYY. Note If applying for a Gas or Oil Technician Licence you must provide a copy of Certification of Qualification from Apprenticeship Agency. Submit Online at www. nsbr. ca Or by Mail to PO Box 1529 Halifax NS B3J...
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