Business Registration Form

Name of Business

Date of business start up

Number of Employees (including yourself)

Business structure type

Owner/Manager Name

Owner/Manager Email

Owner/Manager Phone

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Which sector best describes your business?

Description of Business

Which Ward/Community is your business located?

Physical Address of Business

Include my business in the County directory?

Yes

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