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City of Pembroke Business Registration Form

To register your business please fill out the below form or download the form and email or return in person to: Heather Salovaara hsalovaara@pembroke.ca or City of Pembroke Economic Development, 1 Pembroke Street East, Pembroke ON  K8A 3J5. The Registry is FREE to all businesses.

* Please select what kind of business you are registering:
Commercial
Institutional
Industrial
Home Occupation
Other
* Full business name:
* Full Business Street Address:
Business Website:
* Business Telephone:
Business Email:
* Description of products/services offered by business:
NAIC # (if known):
* Manager/Owner Contact Name:
* Manager/Owner Contact Phone:
Manager/Owner Contact Email:
Property Owner Name (if different from business owner):
Property Owner Email:
Property Owner Phone:
Number of full time employees:
Number of part-time employees:
Number of seasonal employees:
Have renovations been started or are they planned for the space?
Yes
No
Will new business sign(s) be installed?
Yes
No
Are you interested in meeting with a business mentor?
Yes
No
* Would you like to be listed on the City of Pembroke's Business Registry List that is available online and to the public?
Yes
No
Please list any questions you have for the City of Pembroke:
Please leave your name, and title/position:
 
* Business Opening Date (estimate):
MonthDayYear