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 the administration of the Propane, Natural and Manufactured Gas Program. If you have any questions about this collection of personal information, you may contact the Chief Officer, 31 Gordon Drive, Charlottetown, PE, Canada P.O. Box 2000 C1A 7N8, Tel: 902-368-5567. Identification Prénom Initiale Nom Adresse 1 Adresse 2 Ville, municipalité, communauté Province Code postal Exemple : C1B 0X1 ou 12345 Pays Numéro de téléphone Exemple : 902-555-5555 Adresse courriel Employer Information Business Name Business Address Business Telephone For example 902-555-5555 Business E-mail