Name
First Name
Last Name
Job Title
Company Name
Company Name
Contact Information
Email Address
Cell Phone
Business Address
Business Street Address Line 1
Business Street Address 2
Country
Canada
Province
Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon
Town / City
Postal Code
Business Overview
Year Founded
Business Type
Please Select Sole Proprietorship Corporation Partnership Cooperative Non-profit Social enterprise
Current City/Town
What was your 2019 revenue?
Please Select 0-150k 150-300k 300-500k 500-750k 750-1000k 1,000+
Business Sector
Please Select Apparel Beauty Creative/Cultural (i.e. artist, musician, etc.) Electronics Furniture Groceries Handcrafts Health & Wellness Home & Garden Jewelry Manufacturing Professional Services Recreation & Entertainment Restaurants Services Sports Toys Virtual Services Other Other food & drink
Are you a member of a Business Improvement Area?
Please Select Yes No Don't know
Is your business owned, managed, and controlled by individuals from any of the following categories? If so, please select all that apply.
Please Select Women Indigenous people (First Nations, Inuit or Metis) Racialized groups Black communities Newcomers, immigrants and refugees People with disabilities Trans or non-binary people Lesbian, gay, bisexual, or queer (LGBQ+) people Two-Spirit Other N/A
Online Presence
Company Website
Twitter
Facebook
Instagram
LinkedIn
Eligibility
Are you a registered business?
Please Select Yes, a Business with a commercial location Yes, a Business that is home-based No Don't know
Do you have an existing online store?
Please Select Yes No Yes, but not live yet I don't know
Is your business part of a corporate chain or a franchise?
Please Select Yes No I don't know
Do you have less than 25 full time employees?
Please Select Yes No I don't know