METCHOSIN.ORG

Print this form out, and either drop off or mail in with your check:

Business Name: _________________________________________________

Contact Name: _________________________________________________

Phone Number: _________________________________________________

Email Address: _________________________________________________

Website Address: _________________________________________________

Type of Listing (check applicable):

___ Accommodation

___ Attraction

___ Arts / Gallery
___ Dining / Food

___ Recreation

___ Business or Service

LISTING FEE: $70.00/listing (Metchosin.Org only)
or, $125.00 for all three local sites: Sooke.Org, Metchosin.Org, SidneyBC.Org

TERM OF LISTING:one year

TOTAL PAYMENT: ________

( PLEASE CIRCLE OPTION: SEND RECEIPT BY: EMAIL / POST )

Please make cheques payable to: PAX MEDIA INC.
3001 Manzer Road Sooke, BC V9Z 0C9
tel. 250.642.6745 fax. 250.642.7722
www.paxmedia.ca