Legal Company Name*
Store Operating Name (if different)

Primary Business Address*
Authorized Signatory*

Email Address*
Whatsapp Mobile Number*

Fiscal Year End Date (DD/MM)
Type of Legal Entity*

SECTION 2: CRA Business Number
USA EIN (if applicable)

Provincial Registration Number
QST/RST/PST Registration Number (if applicable)

Date of Incorporation
Number of shareholders / Shareholding interest percentages*

Brief description of your business and question
Rate your current financial organization from 1 to 10.