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Business Name:
Contact Name:
Contact Title:
Company Email:
Company Website:
Address 1:
Address 2:
City:
Province:	Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal Code:
Telephone:
Fax:
Estimated Employees:	Unknown 1 to 4 5 to 9 10 to 19 20 to 49 50 to 99 100 to 249 250 to 499 500 to 999 1,000 to 4,999 5,000 to 9,999 Over 10,000
Estimated Sales:	Unknown Less than $500,000 $500,000 to $1 million $1 to 2.5 million $2.5 to 5 million $5 to 10 million $10 to 20 million $20 to 50 million $50 to 100 million $100 to 500 million $500 million to $1 billion Over $1 billion
SIC Code 1:
SIC Name 1:
SIC Code 2:
SIC Name 2:
SIC Code 3:
SIC Name 3:
SIC Code 4:
SIC Name 4:
NAICS Code:
NAICS Description:
Comments: