On-Line Registration Form
Currency Cash
is our way of providing
our loyal customers with more value.
The more you buy - the more you receive.
Join this new and exciting program today and begin to save!!!

Date:

First Name:

Last Name:

Phone Number:

E-Mail Address:

License Plate Number:

Vehicle State / Province:

Street / Mailing Address:

City / Town:

State / Province:

Postal / ZIP Code:

PRIVACY NOTICE

Please review and complete the following section in order to proceed with your application.

The information provided by you on your Currency Cash application, and other information that may be provided by you from time to time, is required by Maritime Exchange to process your application and maintain the accuracy of your information.
Maritime Exchange may wish to use the personal information provided on the form, as well as information provided while you are in our store, to communicate with you about other programs, products or services which we offer and which would be of value to you.  This may include notifications of sales, special events, store promotions and other exclusive offers. From time to time, we also disclose personal information to our affiliated companies and others whom we have hired to assist with the development, marketing or provision of our products or services.
If you do not wish Maritime Exchange to use this information for these additional purposes, you may contact the Maritime Exchange Privacy Officer via e-mail at customer@atlantictravelcentre.ca or write to Privacy Officer, Maritime Exchange, 1412 Route 95, Belleville, NB E7M 4Z8.
 

  I agree to the terms and conditions listed above.