In order to validate your eligibility for the Ma Loi 25 program and better tailor our services to your organization or business, please complete the short questionnaire below. Once completed, you will be automatically redirected to the transactional web page to cover the access fee for the service in question. The information collected in this questionnaire will also be shared, besides with In-Sec-M employees directly related to the MaLoi25 program, with the external service providers associated with your specific file as well as with the ministère de l’Économie, de l’Innovation et de l’Énergie of Québec (MEIE). These organizations may contact you to provide the service or validate the accuracy of the information provided.

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To be eligible, the company / organization must have its head office in Québec and have 500 employees or less. Do you confirm that this is indeed the case for the organization applying here to the MaLoi25 program ?

• Yes
• No

Organization / company name: *

Contact - First Name: *

Contact - Last Name: *

Contact - Email Address: *

Contact - Phone Number: *

Quebec Enterprise Number (NEQ): *

Organization type: *Private enterpriseNon-profit organization (NPO)Cooperative / associationMunicipality

Organization / company size: *

• 1-4 employees
• 5-9 employees
• 10-19 employees
• 20-49 employees
• 50-99 employees
• 100-199 employees
• 200-499 employees

Main sector of activity of the organization / company: *

• Agriculture, forestry, fishing and hunting
• Mining, quarrying, and oil and gas extraction
• Public services
• Construction
• Manufacturing
• Wholesale
• Retail
• Transport and storage
• Information industry and cultural industry
• Finance and insurance
• Real estate services and rental and leasing services
• Professional, scientific and technical services
• Company and business management
• Administrative services, support services, waste management services and remediation services
• Educational services
• Health care and social assistance
• Arts, entertainment and leisure
• Accommodation and catering services
• Public administration
• Other (specify below)

If other type of activity - please specify:

Administrative region in which the organization / company is located: *

• Abitibi-Témiscamingue
• Bas-Saint-Laurent
• National Capital
• Centre-du-Québec
• Chaudière-Appalaches
• North Coast
• Estrie
• Gaspésie–Îles-de-la-Madeleine
• Lanaudière
• Laurentides
• Laval
• Mauricie
• Montérégie
• Montréal
• Northern Quebec
• Outaouais
• Saguenay–Lac-Saint-Jean

Preferred service language: *

• French
• English

Where did you hear about the Ma Loi 25 program?

• In an event
• By finding the website using a search engine
• Word of mouth
• From a government official
• From a cybersecurity or personal information protection solution provider
• Medias (Traditional media, social media)

Name of the organization that referred you to the program (if applicable):

IMPORTANT: Were you referred to MaLoi25 by a cybersecurity and personal information protection services and solutions provider? If yes, enter their name below (or "none" if not applicable): *

I agree to receive communications from In-Sec-M regarding their programs and activities: *

• Yes
• No

Submit