Change Request form

PDF (72 kb)

Address:
National Import Service Centre (NISC)
1050 Courtney Park Drive East
Mississauga, ON, L5T 2R4
National Satellite Office (NSO)
2001 Robert-Bourassa Boulevard, Suite 671RME
Montreal, QC, H3A 3N2
Phone:
800-835-4486
877-493-0468
Fax:
613-773-9999
613-773-9999

Change Request

Transaction Number: space to insert transaction number

I space to insert name of space to insert locatio am requesting the following change(s) for the transaction number above.

checkboxTransaction number to space to insert transaction number to

checkboxClient account number to:space to insert client account number

checkboxOther:space to insert other information

By signing this request, I acknowledge that the account numberspace to insert account numberwill be billed the equivalent fees of the previous invoicespace to insert previous invoicethat was issued for the processing of the above stated transaction number.

space to insert signature
Signature
space to insert date
Date
Date modified: