1 Current Page 1 2 Page 2 3 Page 3 4 Preview 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. The amount of the support may be disclosed at the discretion of Innovation PEI and in accordance with the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, Cap. F-15.01. The applicant consents to having Innovation PEI make any inquiries of such persons, firms or corporations as it deems necessary in order to reach a decision on this application. Identification Provide the mailing address of the business or organization in the fields below. 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 County - Select -KingsQueensPrince Business Website Is the civic address different than the mailing address entered above? - Select -YesNo Civic Address Address City, Town, or Community Province Postal Code Example: C1B 0X1 or 12345