Inquire Name * Preferred method of contact * Do you regularly import goods into Canada? Infrequently Frequently Type of goods Usual country of origin Monthly volume: Number of transactions Are you currently using brokerage services? Yes No Email address * Company name * Nature of business * Website (if applicable) Address * City * Province / State * Postal / Zip Code * Country * Canada US Other Other Country (specify) Area Code / Telephone * Area Code / Fax Questions / Information requested: * From time to time Capital may have information regarding customs matters that we feel could help you. If you would like to receive this information as it arises please indicate here. Yes No If yes, would you like to receive information via email or post? Email Post Optional Information Please tell us how you heard about us. From an existing Capital clientFrom a general customs inquiry on the webOther (please specify) Did you find the information on our website helpful to you? Yes No Any other comments you may wish to make: Your Confidentiality is Your Right And at Capital we take it seriously. Please note that the information you requested including our correspondence to you will be kept in strictest confidence. It will not be shared with any other party at any time.