New Member Application

Own a great local business and want to part of the fun.

Fill out this fillable PDF Member Application and email to info@shoplocalportmoody.ca or Fill Out the Form below.


Business Name (required)

Your Email (required)

Owner Info - - - -

Owner(s) Name:

Phone Number:

Email Address:

Business Info - - - -

Address:

Description of Business for SLPM Website:

Business Category:
 Retail Service Restaurant/Cafe

Website:

Social Media - - - -

Facebook:

Twitter:

Instagram:

2016 Monthly Local Biz Spotlight - - - -
Please indicate your first and second choice for spotlight month:
1st Choice:
2nd Choice:

Details of Spotlight Offer (This is entirely up to you but we recommend it being something that we can easily promote for you during that month and will hopefully drive traffic to your business. We will be promoting offers on the Shop Local site and through social media):

**Send a picture related to your offer to info@shoplocalportmoody.ca**

Membership Checklist:
1. Send e-transfer of $120 to info@shoplocalportmoody.ca (password: local)
2. Email to: info@shoplocalportmoody.ca
- a copy of your Port moody business license
- JPG of your Logo and
- An image of your business
3. Pick-up your Shop Local decal from Port Moody Flowers.

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