PEI Broadband Fund for Residents Inquiry Form

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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 where Internet service will be improved.
Exemple : C1B 0X1 ou 12345
Exemple : 902-555-5555
For example 902-555-5555
(1,000 character limit)
CAPTCHA
8 + 9 =
Résolvez le problème de mathématiques et tapez la réponse. Ex. : Pour « 1 + 3 », tapez « 4 ».