Current Page 1 Page 2 Preview Personal information on this form is collected pursuant to Section 5(e) of the Fisheries Act and is used for the maintenance and development of the resources and products of the fishery. For any questions contact the Department representative Cheryl Campbell at 902-838-0826 or email cherylcampbell@gov.pe.ca. Identification Which yearly statement are you submitting? - Select -Fish ProcessorFish PeddlerFish BuyerShellfish First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address 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 Business Name Business Number Number of Employees For Period Starting For Period Ending Buying Station Locations Buying Station Locations Address City, Town or Community Province Postal Code Item weight Add more buying station more buying station Is the facility location different from above? - Select -YesNo Facility Location Address City, Town or Community Province Postal Code For example: C1B 0X1 or 12345