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Luckett Wenman & Associates CONSULTANTS IN GOODS & SERVICES TAX AND OTHER COMMODITY TAXES Head Office: #204 - 10252 - 135th Street,  Surrey,  B.C.  Canada  V3T 4C2 Phone: (604) 584-3566   Fax: (604) 584-0629   Toll Free: 1-866-584-3566   Email: contact@luckettwenman.com

Request for Information Please complete this form to receive more information on a review for your organization or to have someone contact you to arrange a review.   There are only four required fields if you're in a rush. 1.  What is your Full Name? (Required) 2.  What is your Title? Eg. CFO, Comptroller, Head of Finance etc 3.  What is the name of your Company/Organization? (Required) 4.  In what Province is your Head Office? (Required) Select ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND and LABRADOR NOVA SCOTIA NORTHWEST TERRITORIES NUNAVUT ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORY - OTHER - 5.  What is you Phone Number? Including area code. (Required) 6.  What your FAX Number? 7.  What is your Email Address? 8.  What is your preferred method of contact?(phone, email etc) 9.  Please fill in any specific comments or questions. Copyright © 2003 Luckett Wenman and Associates. All rights reserved.