By entering my name above, I acknowledge that I am providing this as my digital signature. I also authorize this portal to capture my digital signature and my IP address to verify and validate my request submission.
I certify that the information provided above is accurate. I am authorized to request communication change on behalf of the business identified above. I understand that false representation of facts will result in revoking of this consent and that I might be barred from using this portal in the future. I authorize PartSource Canada/her affiliates and partners to send my account statements and other related information to us electronically, using the information provided above. I authorize PartSource Canada/her affiliates and partners to use OTP (one time passcode) technology to verify our identity.