END USER CERTIFICATE (Canada)

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					                  END USER CERTIFICATE (Canada)
CANADIAN TACTICAL LTD.
PO Box 632 Station M, Calgary, Alberta T2P-2J3
Ph. (4030 862-2434 Fax (403) 699-0025 E-mail: cantac@shaw.ca

Agency Information
Agency Name:                            __________________________________________

Unit:                                   __________________________________________

Agency Identification Number (AIN):     __________________________________________

City:                                   __________________________________________

Province:                               __________________________________________

Contact Information
Last Name:                              __________________________________________

First Name:                             __________________________________________

Title/Rank:                             __________________________________________

Daytime Telephone:                      __________________________________________

Facsimile:                              __________________________________________

Prohibited Device Information and Quantity:
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 Please fax back completed form to Canadian Tactical for processing at (403) 699-0025.