Section A
Full and complete legal identity of the Supplier as it appears on the Articles of Incorporation, partnership agreement, or other legal documents:

Section B
Full and complete operating name of the Supplier as it appears on the Buy and Sell Website, partnership agreement, or other legal documents:

Section C
Procurement Business Number: (For more Information)

Section D
Complete Mailing address of the seller:

Address Line 1:

Address Line 2:

City:

Province:

Postal Code:

Telephone:

Fax:

E-mail:

Section E
Name of the one individual** who is authorized to access the PS Online on the Supplier's behalf; if different from above:

Name:

Telephone:

E-mail:

** This individual will be the person to receive a Supplier User ID code and a temporary password.

Section F
Aboriginal Supplier: (Yes/No)

Section G
The type of services to be provided:

Professional Services (Non-IT): (Yes/No)

IT Services: (Yes/No)

Section H
Full Name and title of the Supplier's representative for the purpose of this TPA (this person must be a duly signing authorized officer of the company):

Name:

Title:

_________________________________________
Signature

_________________________________________
Date of Agreement