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Document Service Request

Website:

Complete this form in its entirety and attach your $150 retainer

when submitting your documents for service

Edmonton – 280 10123 – 99 Street, Edmonton, AB T5J 3H1

Phone: 780 448-5833

Fax: 780 448-0698



Calgary – 200 807 Manning Road NE, Calgary, AB T2E 7M8

Phone: 403 262-8800

Fax: 403 262-8801



Name of Person(s)/Company to be Served

 REGULAR Service

Name: _____________________________________________

Deadline for Service ____________________________

Address: ___________________________________________

Deadline for Affidavit ___________________________

__________________________________________________

Phone: _____________________________________________

Person/Company to be Served

 RUSH Service

(additional fees incurred)

Name: _____________________________________________

Deadline for Service ____________________________

Address: ___________________________________________

Deadline for Affidavit ___________________________

__________________________________________________

Phone: _____________________________________________

Alternate location for service

Service to be completed by



Personal Service only

Work



Service on Registered Office

Name: __________________________________________

Service to Adult at Household (Court Order Required)



Address: _________________________________________

Service to Solicitor/Lawyer



________________________________________________



Post Documents at Door (Court Order Required)



Other ___________________________________________



Substitutional Service (Court Order Required)

__________________________________________________

Documents to be served

Other / Special Instructions

1. ________________________________________________

_________________________________________________

__________________________________________________

_________________________________________________

2. ________________________________________________

_________________________________________________

__________________________________________________

_________________________________________________

3. _________________________________________________

_________________________________________________

__________________________________________________

_________________________________________________

The Instructing Party (Customer) agrees to pay for all services performed and invoiced by Consolidated within 30 days of the invoice date. Such services will

be charged at the published rate. The Customer shall pay interest on overdue amounts at a rate of 18% per annum, calculated annually, not in advance. The

Customer further agrees to provide deposits or other advances for services to be performed upon the request of Consolidated.

Name of Instructing Party

Date: ___________________ Your reference #: ____________________________________ Contact: ______________________________

Instructing Party (Legal Name of Company): _____________________________________________________________________________

Address: _______________________________________________________________________________________________ (Postal Code)

Phone: ________________________________ Fax: ________________________________ Email: ______________________________

__________________________________________________________

_____________________________________________________

Signature

Name (please print)

For CCE Office Use Only

CCE File #: _______________________