Battery-Powered Products Member Request Form

If you already are a member, please log in to GreenTrax here.

If you are not yet a member, please complete this form if your company manufactures, distributes, imports or is the brand owner of battery-powered products with built-in batteries weighing less than 5 kg, sold in the province of Quebec.

 
 
 
 
Company Name*
 
 
 
Contact Name*
 
 
 
Email Address*
 
 
 
Phone Number*
 
 
 
Address Line 1*
 
 
 
 
Address Line 2
 
 
 
 
City*
 
 
 
 
Province*
 
 
 
Postal Code*
 
 
 
 
 
 
 
Battery-Powered Products Manufactured/Imported/Distributed/Sold*
 
 
Other Battery-Powered Products Manufactured/Imported/Distributed/Sold
 
 
 
Battery Brand(s)*