1 Actuel Page 1 2 Page 2 3 Page 3 4 Aperçu Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act and is necessary to determine your suitability and/or eligibility for programs delivered by Innovation PEI. If you have any questions about this collection of personal information, you may contact Innovation PEI by telephone: 800-563-3734 or email: business@gov.pe.ca. Identification Enter the information of the person who will be the primary contact for this application. 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 - Sélectionner -KingsQueensPrince