Form Builder

Home Doing Business Economic Development

ShopLocal CW Gift Card Project Intake Form

If you have any questions, please contact staff at shoplocal@centrewellington.ca

Business Name

Name of Owner/Contact Person:

Street Number

Street Name

Postal Code

Phone number (please provide both business number and a number you can be reached at if not at business number):

E-mail address for business inquiries:

E-mail address for fund transfers:

Business Description for publication:

Are you currently doing business?

Yes

How are you currently conducting business:

Business Hours:

Business Website:

Business Facebook Account:

Business Instagram Account:

Business Twitter Account:

Digital copy of your business logo

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif