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1. Business Identification
2. Employment Information
3. Survey Contact Information
4. Review and Submit
Is the business located in Halton Region (Burlington, Halton Hills, Milton, or Oakville)?
Yes
No
Business Identification
Business Name
(required)
Legal Business Name
Business Address
Street Number
(required)
Street Name and Municipality
(required)
(type the first three letters of your street name and select your address from the list provided)
Unit/Suite Number
Postal Code
Full Address
Business Information
What year did this business open at this location?
(Please enter the numeric value and should be 4 digits.)
Did this business previously operate at another location in Halton?
Yes
No
What is the ownership form of the business at this location?
Independent Business
Branch / Subsidiary
Institutional Organization
Franchise
Government Organization
Non-Profit Organization
Does this business have a Corporate office?
Yes
No
Canadian Corporate Office Name
Canadian Corporate Office Location (Province)
International Corporate Office Name
International Corporate Office Location (Country)
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