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Information Request Form

Contact: *

Title:

Company name:

Address: *

City: *

Prov. or state: *

Postal code: *

Telephone: *

Fax:

Email *

Referred by:

Permit information - Please select from the list below:

Canadian permits
Fuel reporting
FHWA authority(ICC)
Single state registration
Corporate registration
Regulations

Number of Tractors *

Number of Trailers *

Comments

C.U.T.C. INC. 1295 Crois. Carol . Laval (Quebec) H7W 1G3 . Tel: 450-687-8294 . Fax: 450-687-6963 . Toll free: 866-927-8294 . info@cutcinc.ca