Please provide a physical address (please provide the complete address, including the city, province/state, country, and postal code)
Please provide the following information about your representative (you can also provide this information at a later date):
Please have your representative contact the TATC to confirm that they are representing you. Once confirmed, this appointment will continue in force until it is cancelled, changed, or withdrawn with notice to the TATC.
The dating and submission of this form to the TATC constitutes a legal signature of this online form.
Contact the TATC within one business day if you did not receive an automatic email that confirms the TATC received your submission.