Legal Name of Firm:
Phone:
Trade Name:
Address:
City:
Province:
Postal Code:
Type of Business:
Is Business Corporated: Yes No
If Yes Date Incorporated:
NAMES, HOME ADDRESSES OF PRINCIPAL(S), SOLE PROPRIETORSHIP. OR PARTNERSHIP
Name:
Telephone:
Do you own?:
If Lease, Name of Landord:
Seating Capacity of Restaurant:
Length of Time In Business:
Bank Information:
Bank:
Account:
Account Name:
Branch: