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Payment test form page
admin
2025-01-20T10:54:27-06:00
Primary Weight Permit Application (TEST FORM)
Type
(Required)
Agriculture
Oilfield
Other
Request For
(Required)
Daily Test - $0.50 + GST
Yearly Test - $0.60 + GST
Date
(Required)
MM slash DD slash YYYY
Company
(Required)
Mailing Address
(Required)
Box Number/Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
(Required)
Email
(Required)
Unit No.
License Plate No.
(Required)
Gross Vehicle Weight
(Required)
No. of Axles
(Required)
Steering Axle Weight
Total Axle Weight
Payment
GST (5%)
Price:
$ 0.00 CAD
Total
Invoice To:
(Required)
First Name
Last Name
Credit Card
(Required)
Cardholder Name
Card Details
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