Ville de Gatineau

Contract to obtain
Internet Service access to the specialized tax register
hereafter called the « Service »


Category : 
(check one) 
[__]  Lawyer
[__]  Notary
[__]  Chartered Accountant
   
[__]  Real-Estate Agent
[__]  Evaluator
[__]  Land Surveyor
   
[__]  Financial Institution
[__]  City Official
[__]  Bailiff
   
Surname : 
Given name : 
Company : 
Business address : 
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
   
Telephone : 
Other telephone : 
Fax : 
E-mail : 
819 _____-________  ext. ________
819 _____-________
819 _____-________
_________________________@_________________________
   
Professional licence number or transit for banks
(mandatory) : 
 
   
Date of issue : 
____
day
____
month
________
year


Conditions


Please fax this document or sent by email at finances@gatineau.ca to Isabelle Rivest at 819 243-2380.
Upon confirmation of your access, you will be required to send the original, signed document to
Service des finances, C.P. 1970, Succ. Hull, Gatineau QC  J8X 3Y9