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| DATE: _____________________ |
| BUSINESS NAME: ________________________________________________________ |
| ADDRESS: ________________________________________________________________ |
| PHONE: ____________________ |
| FAX: _______________________ |
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| CLAIM INFORMATION: |
| MANUFACTURER/MODEL: ________________________________________________ |
| SERIAL # ________________________ |
| DATE OF INSTALLATION ____________ |
| A TOTAL OF TWO DIFFERENT UNIT CAN BE CLAIMED EACH YEAR. |
| EACH UNIT CLAIM IS $300.00 |
| MAIL: NGAEDA |
| 620 4TH. AVE. N.W. |
| SWIFT CURRENT, SK |
| S9H 0V8 |
| FAX: NGAEDA |
| (306) 773-3419 |
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Contact Us
President
Scott Grieve
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Vice President
Tom Westbury
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Secretary/Treasurer
Jerry Declare
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Board Members
John Christenson
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SaskEnergy Representative
Melisssa Dyck
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NGAEDA Office
620 4TH. Ave. N.W.
Swift Current, Sk.
S9H 0V8
Ph: 306-750-6608
Fax: 306-773-3419
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