5400 Cartier Street Vancouver, BC V6M 3A5 Phone: (604) 261-4285 Fax: (604) 261-2284 Email: info@mail.vc.bc.ca


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Account Number **Refer to invoice/receipt from school. Leave blank if not applicable
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Email  *
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Students  * **Last, First Name (Separate by slash if more than one: ex. Smith, Joseph/ Smith, Dave)
Grade  * **Separate by slash if more than one: ex. 2/ 6
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