Join WebOntario - Application Form

If you wish to join WebOntario all you have to do is fill out the following application and send a Cheque, Bank Draft or Money Order with the application (pages 1-4) and any photographs to:

cpm Web Solutions
60 Leland Dr.
Belleville, ON
K8P 1G5

Your annual fee for your web page with WebOntario is:
$95.00 Canadian all-inclusive.

You will receive an invoice for your renewal fee each year on your anniversary of joining WebOntario.

Your site will be added and your photographs mailed back to you.

You will receive an invoice for your renewal fee each year on your anniversary of joining WebOntario.

NOTE: Required fields are marked with an '*'.  If any field that is not mandatory does not apply to your business just leave blank.

If you have any questions please call: 
(613) 967 - 3965


* Business Name:



* Short Name:
Choose a one-word name to identify your business. For example if the business name were "ABC Company Inc." then a good short name would be "ABC". The short name must not contain any special characters eg. "@ # $ % *"



Short Description: 
For the short description compose one concise statement to describe your business.

NOTE: The short description and the key words are used to enable search engines to find your page.



Key Words:
For the key words enter 10 to 20 words that deal with your business.

Business Category:
If you do not pick a category we will try to pick the best for you or list you under miscellaneous. Examples of categories: Antiques, Real Estate, Restaurant, and Golf.



Password:
Your password must be at least 8 characters long, start with a number and end with a letter. This password will allow you to access your page and make modifications.



Address:



City:



Postal Code:



Phone Number:
Please include area code.



Toll Free Number:



Fax:



Email Address:
If you do not have an email address indicate if you are interested in having one.



Website:
If applicable.



Contact Name:



Driving Directions:



Special Information:

Business Hours:



Payment Options
Circle all payment options accepted by your business.

Cash	    Mastercard       Visa    	Interac


Business Description:
Include up to 15 statements describing your business and services.

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cpm Web Solutions            coleen@cpmWeb.ca            www.cpmWeb.ca
           (613) 967 - 3965