Tim Hortons Franchisee Health Benefits
Kindly complete the following registration form in order to receive your User ID
* Required Information
Name of Restaurant Owner
:
*
Please enter owner name
Email Address
:
*
Please enter email
Please enter valid email
Province
:
--Select--
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
NW Territories
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Nunavut
*
Please enter province
Policy Number
:
--Select--
650000
*
Please enter policy number
Division(s) Number
:
*
List of added divisions
Name of individual that will administer requests on your behalf
:
*
Please enter division administrator name
Name of individual who completed this request
:
*
Please enter individual name
Language
:
--Select--
English
French
*
Please select language
Note: Once Mitchell & Abbott Group reviews the registration they will contact you with your User ID.
QUICK HELP
All Correspondence will be directed to the email address provided
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