Current Page 1 Page 2 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 this program and will be used for determining program eligibility and to maintain program data. If you have any questions about this collection of personal information, you may call 902-838-0662. Identification 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 Title/Position of Contact Person