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APPENDIX "B" – DEALERS (to be completed by all non-Alberta residents, foreign or domestic, seeking registration as salesperson or trading officer) FORM OF SUBMISSION TO JURISDICTION AND APPOINTMENT OF AGENT FOR SERVICE
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Document Date: 2012-06-12 08:45:37


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Company

Alberta Securities Act S.A. / SALESPERSON / /

Organization

Service of Process / FORM OF SUBMISSION TO JURISDICTION AND APPOINTMENT OF AGENT FOR SERVICE OF PROCESS BY SALESPERSON / /

Position

director of the Registrant / trading officer / OFFICER / EXTRA-PROVINCIAL DEALER / /

ProvinceOrState

Alberta / /

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