Name*:

Business Name:

Mailing Address (please no PO Boxes)*:

City*:

Postal Code*:

Business Number (with Area Code):

Home Number (with Area Code)*:

Fax Number (with Area Code):

E-mail Address:

Website:

Do you wish to have your products insured upon return? Yes No

If yes for insurance, how much?

I will be shipping products by (date)*:

* Required Fields

Check List

Have you included:

• Sample of Business Materials, pricing lists,
• Letter describing work, production capacity,
• Payment for $60.00 (non-refundable) made payable to Impact Communications Ltd.

Ship To

Ship your material along with the above information to:

UNIQUELY CANADA PROGRAMS
2625A Alliance Street
Abbotsford, BC
V2S 3J9

Shipping and Handling

When shipping your products to be juried, we recommend using a courier service. Products should be sent to the address listed on the application form. Please arrange insurance for your items when shipping. Items which contain glass should be insured. For oversized items please contact our office for further directions. Once juried, all products will be returned to the producer freight collect in the original packaging via Greyhound Courier Express unless a pre-paid waybill or sufficient postage is provided. We will only insure return packages when instructed to do so.