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Web Presence Program Form


The Web Presence Program provides a non-repayable contribution to Prince Edward Island businesses to assist them in establishing a presence on the internet. Prince Edward Island is becoming one of the leading provinces for web presence in Canada. The purpose of this program is to help Island companies increase business by adopting technology.

The contribution under this program is limited to 40% of the cost to a maximum contribution of $500.00 per small business.

Fields marked with a red star (*) are mandatory.

Company/Information


Company Name: *
Company Address: *
Postal Code: *
Telephone: *
Fax:
Email:
HST Number:
(indicate if not applicable)
Industrial Sector:
(ie. Incorporated, Partnership, Sole-Proprietorship, Co-operative
Form of Organization: *
Contact Person: *
Position/Title: *
Application Received Date:
Project Officer:
Nature of Current Business: *
(Please indicate why you wish to establish a web presence, what you anticipate the benefits will be and attach a written quote from the web developer of your choice)
Project Information


Total Cost: *
(as per Quote)
Requested IPEI Contribution: *
Brief Descripotion of Proposed Activity: *
(Please indicate why you wish to establish a web presence, what you anticipate the benefits will be and attach a written quote from the web developer of your choice)
Proposed Start Date: *
Estimated Completion Date: *
Submitting your Quote


Attached Quote: *
Attach an electonic/scanned copy of the quote, if available.
Signature of applicant(s): *
Date: *

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* There are several contact persons for this form. Please select the contact person from the list below to whom your form should be directed.

Steve Reaman (Innovation PEI )
Prince County
Business Development Officer
sjgreaman@gov.pe.ca

Access PEI Summerside
120 Harbour Drive
Summerside PE C1N 5L2
Phone (902) 888-8006/ Fax (902) 432-2634

Rural Action Centre Alberton
Box 368, 455 Main St
Alberton PE C0B 1B0
Phone (902) 853-0105; Fax (902) 853-3839
sjgreaman@gov.pe.ca

Rural Action Centre Central Bedeque
Box 3981
106 Linkletter Ave
Central Bedeque PE C0B 1G0
Phone (902)-887-3400; Fax (902)-887-2400
sjgreaman@gov.pe.ca

Preston Llewellyn (Innovation PEI )
Kings County
Business Development Officer
pkllewellyn@gov.pe.ca

Rural Action Centre Montague:
540 Main Street, Montague PE C0A 1R0
Telephone (902) 838-0609

Access PEI Souris:
Green Street, Souris PE C0A 2B0
Telephone (902) 687-7082

Melissa MacLaren (Innovation PEI )
Queens County
Business Development Officer
94 Euston Street 1st Floor
P.O. Box 910 Charlottetown PE C1A 7L9
Telephone (902)569-0571

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