PEI Tariff Impact Relief Fund

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Information contained in and collected in relation to this Agreement is subject to, and will be treated in accordance with, the Prince Edward Island Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, Cap. F-15.01 (the "FOIPP" Act). Any information provided in respect of this Agreement may be subject to disclosure under the FOIPP Act.  

Personal information on this form is collected under Section 31(c) of the FOIPP Act as it relates directly to and is necessary for determining eligibility. If you have questions regarding the collection of personal information, you may contact Innovation PEI toll-free at 1-800-563-3734 or by email at innovation@gov.pe.ca.

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
For example 902-555-5555
Civic Address
For example C1B 0X1 or 12345