Newfoundland and Labrador - Membership application form

Please provide the following information and/or documentation.
Since when does your company distribute products managed by UOMA NL? *
Attach a signed copy of your membership agreement. *

Attach your file

Cancel of

From the list of applicable products below, select the ones for which you are registering. *

Lubricating oils covered by the regulation Containers of 50L or less (total capacity) Filters of less than 8 inches/203 mm in length Filters of 8 inches/203 mm or more in length Sump type automatic transmission filter Aerosol containers (units) Antifreeze mix Antifreeze concentrate Antifreeze containers of 50L or less

Please indicate your estimated annual volume for the upcoming year for each of the following products.
Lubricating oils *
Containers of 50L or less *
Filters of less than 8 inches/203 mm in length *
Filters of 8 inches/203 mm or more in length *
Sump type automatic transmission filter *
Aerosol containers (units) *
Antifreeze mix *
Antifreeze concentrate *
Antifreeze containers of 50L or less *

There is a $200 (plus applicable taxes) for a total of $230.00 UOMA NL membership fee, and the payment is mendatory in order for your registration to be completed. How will you proceed for the payment of the membership application fee? *

Sending a check for the total amount of $230.00 (taxes included) to UOMA NL Electronic funds transfer for the total amount of $230.00 (taxes included)
Here is the UOMA NL information you will need in order to make the payment.

HST #: 830035432RT0003

Address: UOMA NL, #204 - 248 Fréchette Blvd, Chambly, QC, J3L 2Z5

**Please address your check to UOMA NL**
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UOMA Newfoundland and Labrador - Membership application form