Listing Application - SILVER or GOLD packages

COORDONNÉES

Mr:    Mrs/Ms:

First name:  *

Last name:  *

Address:  *

Town:  *

Province/State:  *

Postal Code:  *

Country:  *

Email:  *

Confirm your email:  *

Phone 1:  *

Phone 2:

Fax no (if available):

Web site address (if available) :

In operation since (year):

If applicable, how is your lodging establishment classified?  Please specify the number as well as the category: suns or stars.

PLEASE INDICATE THE CATEGORY TO WHICH YOU BELONG

Agricultural operator offering agritourism activities. To find out whether you fit into this category >>

Your number of agricultural operator: If you fit into this category, what services do you offer? activities     gourmet dining     sale of farm products   B&B     inn     camp site     vacation camp

Agricultural operator selling products from his or her own farming operations or the possibility for the purchasers to pick their own fruits or vegetables (U-Pick) Your number of agricultural operator:

Operator of a business or an organization offering activities related to the production of Québec terroir products AND sales of mainly Québec terroir products (e.g., interpretation centre, economuseum, cheese maker, micro-brewery, flour mill, etc.)

Operator of a business or an organization offering sales of mainly Québec terroir products (e.g., herbalist, boutique selling regional products, butcher/cold cuts).

PLEASE CONFIRM

You are in compliance with all government and municipal legislation and regulations that govern your activities You are registered with the Registraire des entreprises du Québec. OU You are not registered with the Registraire des entreprises du Québec because you are not required to be.

YOU’RE INTERESTED IN SUBSCRIBING TO: (consult the "visibility packages offered" table for more information)

GOLD PLUS Distinction Package (includes a distinction for quality, Web page with 20 photos and link to your own Web site, rotating advertisement, listing priority in the search results, preferential discount rate for Visa and Master Card, etc.) GOLD Package (Web page with 10 photos link to your own Web site, rotating advertisement, etc.) SILVER Package (Web page with 3 photos, etc.)

USER NAME AND PASSWORD

Once your application has been received and validated, we will contact you as soon as possible to provide you with your user name and a password, which will allow you to enter your own listing online.