Innovation and Advanced Learning:

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: *
Signature of applicant(s): *
Date: *

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Email to address:

Submit the Form

* 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 Junior Business Development Officer 94 Euston Street 1st Floor P.O. Box 910 Charlottetown PE C1A 7L9 Telephone (902)569-0571

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