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Business Registration Form
All companies wishing to do business with KSM Mining must fill out our registration form.
Please provide complete and accurate information.
This form should take 10 to 15 minutes to complete.
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* Indicates required question
Email
*
Your email
Company Name
*
Your answer
Contact Name
*
Please provide the name of a contact person for your organization
Your answer
Contact Title
*
Your answer
Mailing Address
*
Please provide your complete mailing address, including City, Province, and Postal Code
Your answer
Location
*
In what community is your business located (include your street address if different from mailing address)?
Your answer
Phone Number
*
Your answer
Company Website
Your answer
Indigenous Relations Liaison
*
Please provide a name and contact information of your employee who is primarily responsible for indigenous relations.
Your answer
Are you an Indigenous owned or operated business?
*
Includes Indigenous Nations, Metis, or Inuit.
Yes
No
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