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Stakeholder Sign-Up Form:

Business Name

Street Address

Contact Phone

Toll Free / Cell Number

Website URL

Contact Name

Business Name for Invoices (if different)

Mailing address (if different)

Product Selection

* + GST, per year (invoiced annually)

Basic Web Listing - $0

Connect Bundle - $130*

Engage Bundle - $360*

Influence Bundle - $720*

Stakeholder Category Criteria Form:

*Please check the box beside criteria pertaining to your sector.

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Accommodation, Hostels, Campgrounds

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Minimum $2 million insurance.

Yes, I agree to the Accommodation, Hostels, Campgrounds criteria.

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Vacation Home Rentals & Lodges

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Minimum $2 million insurance (including 3rd party liability).

Yes, I agree to the Vacation Home Rentals & Lodges criteria.

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Associations & Transportation

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Incorporated under the Societies Act or Boards of Trade Act.

Yes, I agree to the Associations & Transportation criteria.

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Real Estate

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Either/or:

Member of the local Real Estate Board.
BC licensed realtor.

Yes, I agree to the Real Estate criteria.

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Adventure, Ski, Golf, Attractions, Arts & Culture, Spa & Wellness, Agriculture & Winery, Food & Beverage, Meeting Facilities, Rentals, & Gardens

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Minimum $2 million insurance (including 3rd party liability).

Yes, I agree to the Adventure, Ski, Golf, Attractions, Arts & Culture, Spa & Wellness, Agriculture & Winery, Food & Beverage, Meeting Facilities, Rentals, & Gardens criteria.

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Tour Operators (In and out of province)

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Tour operator registration.

Yes, I agree to the Tour Operators (In and out of province) criteria.

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Parks

Municipal, Regional, Provincial, Federal

Yes, I agree to the Parks criteria.

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Education

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
BC Public Education.

Yes, I agree to the Education criteria.

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Learning/Enrichment

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Minimum $2 million insurance (including 3rd party liability), and
Business license or Society registration.

Yes, I agree to the Learning/Enrichment criteria.

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Events & Retail/Service

In compliance with all municipal, regional district, provincial and federal regulations and bylaws, and
Applicable insurance.

Yes, I agree to the Events & Retail/Service criteria.

Agreement

I have read the Stakeholder Category Criteria above and agreed to the appropriate criteria and meet all the applicable criteria required for my stakeholder category with Parksville Qualicum Beach Tourism.

I agree to be added to the PQBTA stakeholder email newsletter and receive other email as necessary.

Your Name

Title

Phone

Date

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Stakeholder Sign-Up Form:

Stakeholder Category Criteria Form:

Agreement

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