Actuel Page 1 Page 2 Aperçu Personal information on this form is collected under section 20 of the Public Health Act, R.S.P.E.I. 1988, Cap. P-30.1 and section 3 of the Tanning Facility Regulations made under the Public Health Act for the purpose of registration of a tanning facility and section 31(c) of the Freedom of Information and Protection of Privacy Act, R.S.P.E.I. 1988, Cap. F-15.01 as it relates directly to and is necessary for registration. If you have questions about this collection of personal information, you may contact Environmental Health at 902-368-4970 or toll free at 1-800-958-6400. Identification Provide contact details for the business location. 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 For example: C1B 0X1 or 12345 Pays Téléphone 1 Exemple : 902-555-5555 Téléphone 2 Exemple : 902-555-5555 Télécopieur Exemple : 902-555-5555 Adresse courriel Application Status and Type Civic Address Application Type - Select -NewRenewal Number of Staff