
Please fill out the order form in block letters.
Please print the title(s) of the publication(s) you wish to obtain. (Publication List)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
| Name: | _______________________________________________________ | ||
| Address: | _______________________________________________________ | ||
| City: | _______________________________________________________ | ||
| Province: | ________________ | Postal Code: | ________________ |
| Country: | _______________________________________________________ | ||
| Telephone: | _______________________________________________________ | ||
| Fax: | _______________________________________________________ | ||
| E-Mail: | _______________________________________________________ | ||
| Federal | ______ | Provincial | ______ | Municipal | ______ |
| Individual | ______ | First Nations | ______ | Industry | ______ |
| Association | ______ | Commercial | ______ | ENGO | ______ |
| Student | ______ | ||||
All priced publications must be prepaid, payable by cheque or money order to the Receiver General for Canada. Add 5% GST or 13 % HST if applicable. Visa & Master Card Accepted. Please allow three to four weeks for delivery.
| Card Number: | _______________________________________________________ |
| Expiry: | _______________________________________________________ |
| Name of cardholder: | _______________________________________________________ |
| Signature of cardholder: | _______________________________________________________ |
| Date: | _______________________________________________________ |
Special needs or requirements:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
| Department Number: | _______________________________________________________ |
| Organization Code: | _______________________________________________________ |
| Reference Code: | _______________________________________________________ |
Send your request to:
Canadian Environmental Assessment Agency
Publications Services
22nd Floor, Place Bell
160 Elgin Street
Ottawa ON K1A 0H3
or
E-Mail Address: info@ceaa-acee.gc.ca
Fax: 613-957-0946