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Business Submission Form

Please fill in each information box to be included in the Town of Petawawa Business Directory.

Date Submitted:

Date Submitted: :: Please enter the date using the format MM/DD/YYYY.

Type of Submission:

New Registration
Update

Type of Submission: :: Please check one.

Date Business Started:

Date Business Started: :: Please enter date business started operating using the format MM/DD/YYYY.

Company Name:

Company Name: :: Please enter name of your company.

Contact Information:

Contact Name:

Contact Name: :: Please enter the contact first and last name.

Title:

Title: :: Enter the title of the contact.

Address:

Address: :: Please enter street address.

City:

City: :: Please enter name of city.

Postal Code:

Postal Code: :: Please enter your postal code.

Phone:

Phone: :: Please enter your phone number.

Fax:

Fax: :: Please enter your fax number.

Toll-Free:

Toll-Free: :: Please enter your toll-free phone number:

E-mail:

E-mail: :: Please enter email address.

Website:

Website: :: Please enter your complete website address.

Product/Services:

Product/Services: :: What product or services does your business offer?

Type of Business:

Type of Business: :: Please enter the type of business.

Company Information:

Municipality:

Municipality: :: Please enter in which municipality your business is located.

Number of part-time employees.

Number of part-time employees. :: Please enter the number of part-time employees or "none".

Number of full-time employees:

Number of full-time employees: :: Please enter the number of full-time employees or "none".

Organization Volunteers:

Organization Volunteers: :: Please enter the number of volunteers or "none"?

Organization Members:

Organization Members: :: Please enter the number of organization members or "none".

Classification:

Classification: :: What is your business classification?

Do you Export?

Yes
No

Do you Export? :: Please select one.

For Tourism Business Only:

Number of Seats:

Number of Seats: :: Enter the number of seats available.

Number of Rooms:

Number of Rooms: :: Enter the number of rooms available.

Number of Cottages:

Number of Cottages: :: Enter the number of cottages available.

Number of Campsites:

Number of Campsites: :: Enter the number of campsites available.

Enter letters and numbers.

Enter letters and numbers. :: Please enter letters and numbers.

February 2012

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5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	1	2	3

S	M	T	W	T	F	S
29	30	31	1	2	3	4
5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	1	2	3

S	M	T	W	T	F	S
29	30	31	1	2	3	4
5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	1	2	3

S	M	T	W	T	F	S
29	30	31	1	2	3	4
5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	1	2	3