Manufacturer’s recall for Philips CPAP devices, click here.
Name
First name
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Survey (Note: If you answered "yes" to any of the following questions, you will not be approved for this program)
1. Is your gross annual income over $21,000? YesNo
2. Have you filed 2 or more claims with a bankruptcy trustee? YesNo
3. Do you owe $1500 or more in judgements/prosecutions/collections? YesNo
4. Have you had 2 or more accounts written off as losses by a Collection Agency? YesNo
5. Do you have a temporary Social Insurance Number (beginning with 9)? YesNo
An agent will contact you shortly to verify your eligibility.
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Date:
SuccursaleSt-Alphonse de GranbySt-Jean sur RichelieuDrummondvilleSherbrooke
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