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Register a new Amusement Device ($125.00)
Register a new Amusement Device
$125.00
To apply for this permit, enter the required information below and click "Proceed to Checkout".
Required fields
Applicant
Company name
Owner's First Name
Owner's Last Name
Email
Phone (Primary)
Phone (Alternate)
Mailing Address
Please enter your postal code to begin
PO Box
PO Box
Country
Canada
United States of America
Postal code
Postal code is invalid
Zip Code
Province
Aberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
State
Maine
City
City
Street Number
Civic number suffix
Street name
Street name
Unit type
N/A
Apartment
Suite
Unit
Room
Unit
Amusement Device
Amusement Device
~ Please select ~
Inflatable
Mechanical
Model Number
Serial Number
Name of Manufacturer
Year manufactured
Date purchased
New
New
Used
Name of Previous Owner
Maximum Number of Persons
Maximum Speed
R.P.M.
Type of Drive
~ Please select ~
Gasoline
Electric
Location
Name of Ride
Location
Set Up Date
Playing Date
Signature of Applicant
Signature
Checking this box is the same as providing your signature
I understand and agree
Checking this box and electronically sending this form constitutes your electronic signature.
Date
2024-11-29 [20241129.1 (58204)]
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