E-services
CWB E-services application
CWB E-services application
Please print off, fill out and return this portion by mail or fax to:
The CWB-Farmer Relations and Operations
PO Box 816, Stn Main, Winnipeg MB , R3C 2P5
Fax: (204) 983-8031
| Is this a new application? | |
| Is this a change to an existing E-services account? | |
| Date ___________________ | Permit ID number_______________________________ |
|
Name on permit _________________________________________________ |
E-mail*
_________________________________________________ |
|
Please write down an answer to ONE of the following questions. This will become your shared secret. Please remember your shared secret answer as you will need it for E-services sign-up. What is your favourite colour?_______________________________ What is your Mother's maiden name?_______________________________
Where were you born?_______________________________ |
|
|
Signature _________________________________________________ |
Please print your name clearly in the space below. ___________________________________________________ |
|
Position in company (if applicable) _________________________________________________ |
Second signature if joint producer ___________________________________________________ |
Please read the Terms and Conditions regarding CWB E-services access.
* Note: If you are applying for E-services access you must provide a valid e-mail address in the space above.