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 as it relates directly to the administration of the PEI Employment Development Agency’s programs and will be used for determining program eligibility and maintaining program data. If you have any questions about this collection of personal information, you may contact the Director of the PEI Employment Development Agency, 548 Main Street, PO Box 1180, Montague, PE, C0A 1R0, Telephone 902-838-0662. Identification Employer Type - Select -Non-Profit SectorPrivate SectorPublic Sector 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 Type of product/service offered by organization Number of employees Is your mailing address different then your civic address? - Select -YesNo Mailing Address Address 1 Address 2 City, Town or Community Province Postal Code For example C1B 0X1 or 12345 Alternate Contact First Name Last Name Telephone Number For example: 902-555-5555 Email Address