Agreement between a principal and its agent appointing the agent as its non-exclusive purchasing agent in a specific territory. For example, the principal may be a woman's clothing store. The principal may engage agent to be its purchasing agent for women's clothing in a specific territory.

This form can be used in the following provinces: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan and Yukon.