GENERAL APPLICATION FOR COMMERCIAL SIGNAGE

Please fill out the requested information below. This information is being collected to determine commercial signage eligibility.

* Required fields

PART 1 - Applicant Information

*	Primary Contact Name:
*	Business Telephone Number:	Example: (506)555-1234
*	Email Address:

PART 2 - Business Information

*	Official Name of the Establishment :

	Physical Location of Business

*	Street/PO Box:
*	Municipality:
*	Province:
*	Postal Code:

	Mailing Address

	Same Address As Above

	If different:
	Street/PO Box:
	Municipality:
	Province:
	Postal Code:

	Website:
*	Type of Business:
*	Service(s) Offered:

	Restaurant
	Seating Capacity :
	Normal Operating Hours :

	Vehicle Fuels
	Number of Diesel Pumps:
	Number of Gasoline Pumps:
	Normal Operating Hours:

	Accommodations
	Number of Units or Rooms:
	Normal Operating Hours:

	Campground
	Number of Tent Sites:
	Number of Trailer Sites:

	Other Services or Attractions (please specify):

*	Normal Operating Season:
*	Months:	From To

PART 3 - Signage Location Information

*	Nearest Highway & Exit Number :
	Desired Location for Sign:
	Specify distance from your service or attraction to the highway on which you want the signs installed:
	Budget For Commercial Signage:	$
	Type of Sign: (Please reference “types of signs” on the commercial signage page) :
*	Are there any other signs already in place advertising your business, other than those on- premise?
	Yes No
	If yes, where?
	Comments

PART 4 - Applicant Agreement

I hereby certify that the above information is correct to the best of my knowledge and belief. Anyone who knowingly makes a false or misleading statement in an application is guilty of an offense.

	Click to confirm that you agree with the above statement *

TYPING IN YOUR NAME AND ELECTRONICALLY SENDING THIS FORM CONSTITUTES YOUR ELECTRONIC SIGNATURE.


* Signature		* Date (yyyy/mm/dd)