Current Page 1 Page 2 Page 3 Page 4 Preview Personal information on this form is collected under Section 4, 6 and 7 of the Lobbyists Registration Act, as it relates directly to and is necessary for the purposes of registering to lobby a public-office holder. If you have any questions about this collection of personal information, you may contact the Registrar of Lobbyists, Financial and Consumer Services Division, Department of Justice and Public Safety, 902-368-4550. Identification Are you submitting this form for a registration or renewal? - Select -RegistrationRenewal I am applying as a - Select -Consultant lobbyistIn-house lobbyist of a companyIn-house lobbyist of an organization 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 Fax Number For example 902-555-5555 Lobbyist Registration ID Do you own (or are you employed by) a business or firm? - Select -YesNo Lobbyist's Business or Firm Information Name of Business or Firm PEI Business Registration Number Fiscal Year Beginning Is the address of the business or firm the same as the address provided in the Identification fields above? - Select -YesNo Lobbyist's Business or Firm Address 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 Fax Number For example 902-555-5555 Organization or Employer Information Name of Organization or Employer PEI Business Registration Number Fiscal Year Beginning Is the address of the organization or employer the same as the address provided in the Identification fields above? - Select -YesNo Organization or Employer Address 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 Fax Number For example 902-555-5555