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Professional Services Registry for Internal PEIBWA Database
Welcome
The purpose of this registry is to develop a roster of professional service providers that would like to be made aware of upcoming PEIBWA sponsored programs and opportunities. We have current and future programs for which we will be sourcing professional service providers in order to meet the needs of Prince Edward Island companies seeking assistance through our various funding initiatives.
Please note: Registered businesses, as well as sole proprietorships will be considered; however, you must have experience working with companies in one or more of the areas of expertise listed. A valid website or LinkedIn profile should also be provided in addition to a legitimate email address. We request that you provide 2-3 client references along with your submission. You may also attach any additional materials that you deem relevant, at the end of this form.
If you have previously submitted a profile to the registry, please indicate so below.
Please complete this form to submit your interest.
Your application will not be submitted until you click the “Submit” button at the end of this form
.
Have you previously submitted a profile and wish to have this replace the profile currently in the registry?
No
Yes
COMPANY INFORMATION
(Required.)
Company (Operating)
Company (Legal)
Business (HST) Number (or N/A)
Contact Last Name
Contact First Name
Contact Title
Website
LinkedIn profile URL
CORPORATE ADDRESS
(Required.)
Address
*
Address 2
City/Town
*
State/Province
*
Postal Code
*
Email Address
*
Phone Number
*
YEARS IN OPERATION
(Required.)
<1
1-4
5+
NUMBER OF EMPLOYEES
(Required.)
1
2-3
4-10
10+
PROVINCE OF REGISTRATION
(Required.)
AB|Alberta
BC|British Columbia
MB|Manitoba
NB|New Brunswick
NL|Newfoundland and Labrador
NS|Nova Scotia
NT|Northwest Territories
NU|Nunavut
ON|Ontario
PE|Prince Edward Island
QC|Quebec
SK|Saskatchewan
YT|Yukon
WHERE IS YOUR BUSINESS LOCATED? (PEI ONLY)
East Prince
Eastern Kings
Queens (Rural)
Queens (Urban)
Southern Kings
West Prince
DO YOU PROVIDE SERVICES IN FRENCH?
(Required.)
Yes
No
Other Language (please specify)
Please list any relevant certifications or professional designations
SOCIAL MEDIA (ACTIVE AND MAINTAINED)
Facebook
Instagram
Twitter
Other (please specify)
Are you currently a PEIBWA Member*?
(Required.)
Yes
No
*To explore membership options please visit
https://peibwa.org/membership
.