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2. Registry Inclusion*

   Check one of the following boxes to confirm whether or not you approve having your business information published on the M.D. website.

   1. I APPROVE of the M.D. including my business information in the publicly available Business Registry Directory
   2. I DO NOT APPROVE of the M.D. including my business information in the publicly available Business Registry Directory
4. Business Name*
6. Numbered Company (if applicable)
8. Business Owner*
10. Business Phone
11. Business Email*
13. Contact Person

    (if different from Owner)

15. Contact Phone
16. Contact Email
18. Physical Address*
20. Street Address (if in hamlet)
22. Blue Sign Address (if rural)
24. City
25. Province
26. Postal Code
28. Business Sector(s) your business is in

    Please check all that apply

    1. Agriculture
    2. Forestry
    3. Utilities
    4. Fishing & Hunting
    5. Retail and/or Wholesale Trade
    6. Food Services
    7. Mining, Quarrying, Oil & Gas Extraction
    8. Accommodation Services
    9. Construction and/or Manufacturing
    10. Educational Services
    11. Healthcare & Social Assistance

    1. Finance & Insurance
    2. Information & Media Services
    3. Transportation and/or Warehousing
    4. Real Estate and/or Rentals & Leasing
    5. Public Administration and/or Non-Government Organization
    6. Professional, Scientific & Technical Support Services
    7. Arts, Entertainment, Culture and/or Recreation
    8. Management of Companies & Enterprises
    9. Waste Management and/or Remediation Services
    10. Other *please specify below
30. If other:
32. Year established in the M.D.
33. Is your business located inside your home?

    1. Yes
    2. No
35. Detailed description of business

    Please include if you are an independent business or part of a larger business or chain

37. Do you import?*

    1. Yes
    2. No
38. Do you export?*

    1. Yes
    2. No
40. Number of full-time employees
41. Number of part-time employees
43. Profile Information

    For online business directory. 

    Please note, these are not mandatory, but we appreciate if you supply your profile information.

45. Company website
46. Do you have an online store?

    1. Yes
    2. No
48. Facebook
49. Instagram
51. Twitter
52. LinkedIn
54. Other

    Please specify

56. Is your business seasonal?

    1. Yes
    2. No
57. If yes, please provide general dates of operation
59. Would you like someone from Economic Development to follow up with you?*

    1. Yes, please
    2. No, thank you
60. Would you like to be included in the M.D. email list?*

    1. Yes, please
    2. No, thank you

    For events, business information, newsletters, etc.

62. Confirmation of registry inclusion

    By submitting this form, you are certifying you are authorized to register this business with the M.D. and have read, understand, and agree to the information and criteria outlined in this form.

    It is the sole responsibility of the business to provide up-to-date information to the M.D. whenever changes have been made.

    
    

    The collection of personal information on this document is governed by the Freedom of Information and Protection of Privacy (FOIP) Act, as well as other provincial enactments. 
    The M.D. has legal authority to collect information to assist in the operations of municipal programs and services. 
    Should you have any questions or concerns regarding the content of this document, please feel free to contact our Legislative Services Department at:
    Municipal District of Bonnyville
    4905-50 Ave. 
    Bonnyville, AB
    T9N2J7
    P: 780-826-3171
    F: 780-826-4524

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field