Current Page 1 Page 2 Page 3 Preview Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c f-15.01 as it relates directly to and is necessary for determining eligibility. If you have any questions about this collection of personal information, you may contact the Innovation PEI Office by telephone at 1-800-563-3734 or by email at innovation@gov.pe.ca. Identification Business/Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address Title/Occupation County - Select -KingsQueensPrince Is the Business's legal name different than the business/organization entered above? - Select -YesNo Legal Business Name Is the civic address different than the mailing address entered above? - Select -YesNo Mailing Address Address Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345