A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.
Part 1 – Scope of agreement
This document represents an agreement between Canada Border Services Agency, and
- Registered name of carrier
- Carrier code
- Address (head office)
- Contact person(s)
- Telephone number
relating to the participant's requirements under the Courier LVS Program, the Accounting for Imported Goods and Payment of Duties Regulations and the Persons Authorized to Account for Goods Regulations.
Part 2 – Declaration
I (Name) of (Company) agree to comply with the participant's requirement's as detailed in Memorandum D17-4-0 Courier Low Value Shipment Program as well as the two regulations stated above.
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