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Submit form to BC Safety Authority by email G. INTERNAL USE ONLY Payment date MM DD YYYY Payment type Visa Mastercard Debit TRC Cheque or Cash Processed by Payment Amount Submit completed forms and fee to your local BC Safety Authority office www. Please refer to our website www. safetyauthority. ca or contact a BCSA Regional office nearest you Coquitlam Kelowna Nanaimo Victoria 604-927-2041 250-861-7313 250-716-5200 250-952-4444 fax 250-861-7349 fax 250-716-5212 fax 250-952-4458 Kamloops...

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