M99-01536 Application for Business Registry

Application for: BUSINESS REGISTRY

SCHEDULE “A”

To Bylaw No. 1816/05

The registration of a business is governed by rules, regulations and conditions as set out in Bylaw No. 1816/05 of the Corporation of the Town of Espanola.

Name of Applicant: *

Address: *

Town/City: *

Postal Code: *

Telephone No: *

Fax No.:

Email:

Website: *

Name of Business *

Location *

Date of Operation *

Is the Owner the same as the applicant? *

YesNo

If different than above please indicate name and address

Type of Business *

Type of Service or Product *

Please be specific.

I hereby certify that all information contained on this application is correct in every respect.

Signature *

Please enter your full name. This will be used in place of a signature.

Date *

Contact Email(s):

Enter contact emails to receive a copy of your submission (comma separated).

Captcha *