Actuel Page 1 Page 2 Aperçu Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c f-15.01 as it relates directly to and is necessary for determining eligibility. If you have any questions about this collection of personal information, you may contact the Innovation PEI Office by telephone at 1-800-563-3734 or by email at innovation@gov.pe.ca. Identification Provide the civic address of the business/organization and the contact details of the business owner in the fields below. Nom de l’entreprise/organisation Prénom de la personne-ressource Nom de la personne-ressource Adresse 1 Adresse 2 Ville, municipalité, communauté Province Code postal Exemple : C1B 0X1 ou 12345 Pays Téléphone 1 Exemple : 902-555-5555 Téléphone 2 Exemple : 902-555-5555 Télécopieur Exemple : 902-555-5555 Adresse courriel Confirm your Email Address County - Sélectionner -Prince CountyQueens CountyKings County Is another person completing this application on the owners behalf? - Sélectionner -YesNo Person Completing the Application First Name Last Name Job Title/Position Is the mailing address different than the civic address? - Sélectionner -YesNo Mailing Address Address City, Town or Community Province Postal Code For example C1B 0X1