Change Of Business Address - Autorite Des Marches Financiers Page 2

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❏
C
HANGE OF BUSINESS ADDRESS
❏
B
RANCH CLOSURE
Firm / Independent partnership / Independent representative
PART 3 – BRANCH CLOSURE
Please ensure that no representatives are attached to this branch.
B
RANCH ADDRES S
Civic No. /
Suite /
Street
P.O. Box
Unit
Municipality
Province
Postal code
Telephone
E-mail
PART 4 – DECLARATION
AUTHORIZED SIGNATORY
I declare that the information provided in this form is accurate and complete.
❏
Mr.
First name
Last name
❏
Ms.
______ / _____ / _____
Signature
Date
year
month
day
The AMF only accepts forms sent by mail.
No form sent by e-mail or fax will be accepted.
Forms must be sent to the following address:
Autorité des marchés financiers
Place de la Cité, tour Cominar
2640, boulevard Laurier, bureau 400
Québec (Québec) G1V 5C1
Information Centre
_nov.2016
DCI change of business address
Toll-free: 1-877-525-0337
Québec City: 418-525-0337
Page 2 of 2
Montréal: 514-395-0337

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