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info@kanyenkehaka.com
ATTENTION
Type of Business
Consulting
Education
Manufacturing
Media / News
Online
Professional Services
Retail
Service
Transportation
Warehousing
Wholesale
Type of Industry
Adult entertainment
Alcohol
Agriculture
Bar / Restaurant
Cannabis
Commercial Hunting and Fishing
Computer / Internet Technology
Construction
Fashion
Gaming
Energy (including gas stations)
Food
Health and Medical
Martial Arts
Media
Sport
Tobacco
Tourism / guiding
Security
Other:
Business Information
Business Name *
Business Phone Number (123-456-7890) *
Business Email Address *
Business Website Address
Physical Address of Business Head Office *
Business Head Office Email *
Business Head Office Phone *
Business Mailing Address (if different than business address)
Street Address
City
Province
Postal Code
Country
Proprietor Information
Onkwehon:we Name *
Date of Birth *
Nation ID Number *
First Name *
Last Name *
Business Owner's Phone Number *
Business Owner's Email Address *
Business Owner's Clan *
Business Owner's Nation *
Kanyen'keha:ka of the Six Nation (Bay of Quinte and Grand River)
Kanien'keha:ka (Iroquois) of the Seven Nations (Wendake, Odanak, Wôlinak, Pointe-du-Lac, Kahnawake, Kanesatake, Akwesasne, Kitigan Zibi, Ganiekeh, Wahta)
Lenape / Delaware
Ononya'tahaka / Oneida
Onontahaka / Onondaga
Kwayohkawahaka / Cayuga
Sohtenontowanen / Seneca
Skaroron / Tuscarora
Upload a picture of two pieces of ID (Acceptable ID includes driver's license, passport, Indian Status card, Red Card, Nation ID card – DO NOT USE Health cards or SIN cards)
Business Manager's Information
Business Manager's Name *
Business Manager's Phone Number *
Business Manager's Email Address *
