Registration

Business Name

Address

City

Province

Postal Code

Contact Person

Title

Business Phone 1

Business Phone 2

Fax

Email

Website

Industry Consulting/Management Construction Retail/Wholesale Information Technology Consumer Products (Sales) Renewable Energy Forestry Fishery Automotive Parts/Repair Environmental Industries Restaurant/Bar Tourism Trucking C-Store Manufacturing Other

Years In Business

Number of Employees

Type Sole Proprietorship Partnership Corporation Abg Govt Corporation Cooperative

Abg Ownership 51% - 70% 71% - 85% 85% - 99% 100%

Heritage Status Indian Non-status Indian Métis Inuk