Listing
Requester Contact Information
Company Name :
Your Full Name:
Your Position/Title:
Your Phone Number:
Your E-Mail Address:
(Please ensure accuracy.)
Billing Address
Information
Company Street Address:
(For billing purposes.)
Town or City:
(For billing purposes.)
Postal Code or Zip:
(For billing Purposes.)
I agree to pay $50 including HST for a one year term from posting date
as a quality Service Provider listing. :
(we will send you an
invoice only if your business qualifies)
Yes
No
I agree to pay $225 including HST for a one year term from posting date
as a rollover front page sponsor. :
(we will send you an
invoice only if your business qualifies)
Yes
No
Category & Resident
Information
Service
Category 1:
Select from the list below. ------------------------------------------ Automotive Baby & Children Banking Services Clothing Dairy Delivery Driveway & Yardworks Education & Knowledge Employment Entertainment Financial Services Fitness & Sports Food & Restaurants Giftware Services Home Builders Home Dιcor Home Maintenance Home Office Home Renovations Home Security Insurance Legal Services Media Oil Spill Services Pet Care & Health Photography Real Estate & Moving Recreation Rental Companies Self Improvement Transit Companies Travel & Tourism Utilities Water & Sewer Services
Service
Category 2:
(If involved
in multiple services.)
Select from the list below. ------------------------------------------ Automotive Baby & Children Banking Services Clothing Dairy Delivery Driveway & Yardworks Education & Knowledge Employment Entertainment Financial Services Fitness & Sports Food & Restaurants Giftware Services Home Builders Home Dιcor Home Maintenance Home Office Home Renovations Home Security Insurance Legal Services Media Oil Spill Services Pet Care & Health Photography Real Estate & Moving Recreation Rental Companies Self Improvement Transit Companies Travel & Tourism Utilities Water & Sewer Services
Service
Category 3:
(If involved
in multiple services.)
Select from the list below. ------------------------------------------ Automotive Baby & Children Banking Services Clothing Dairy Delivery Driveway & Yardworks Education & Knowledge Employment Entertainment Financial Services Fitness & Sports Food & Restaurants Giftware Services Home Builders Home Dιcor Home Maintenance Home Office Home Renovations Home Security Insurance Legal Services Media Oil Spill Services Pet Care & Health Photography Real Estate & Moving Recreation Rental Companies Self Improvement Transit Companies Travel & Tourism Utilities Water & Sewer Services
Are you a
Hammonds Plains resident? :
(Non-residents are
welcome to post items too)
Yes
No
Are you a
Kingswood resident? :
Yes
No
Listing
Information - These are the only fields that display online - Please double check before submitting!
Listing Company
Name :
Listing Contact
Name :
Listing Phone
Number :
Listing e-mail
address (if any): :
Listing web
address (if any): :
Listing
description:
(80 words or less)