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Change of primary contact request
Change of primary contact request
Please complete and submit this form to replace the current
primary contact
of a company registered with Éco Entreprises Québec.
New primary contact
Designation
Mr.
Ms.
Mx.
Name
First Name
Last Name
Title
Relationship to the company
Owner
Manager
Employee
External Consultant
Other
Email
Business phone
Mobile phone
Company
Company name
Account Number
Corporate website
Clarifications
Correspondence language
French
English
Reason for change of primary contact
The current primary contact has changed responsibilities within the company
The current primary contact is on long-term or indefinite leave
The current primary contact is no longer employed by the company
Other
I certify that I am duly authorized by the company to administer its file and submit material reports in its name to Éco Entreprises Québec.
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