www.CanadaChildCareDirectory.com
Order Form- Basic Listing
Please print off this form, fill
in the information below and send along with cheque for $ 25.00 (including GST) made out to
Canada Child Care Directory and mail to
us at PO Box 227, Mill Bay, BC, Canada VOR 2P0. If you have questions
please call us at (250) 715-1219.
** Pricing Information click here
** Please note: for the Premium Listing option ($40
per year) please click
here
REQUIRED PROVIDER INFORMATION
FACILITY NAME _____________________________________________________________________________________
CONTACT PERSON
_________________________________________________________________________________
OWNER/ MANAGER NAME
___________________________________________________________________________
LOCATION (CIVIC ADDRESS)
_________________________________________________________________________
MAILING ADDRESS
_________________________________________________________________________________
PHONE (
) __________________________
FAX (
) ______________________________
EMAIL
_____________________________________
AGES OF CHILDREN ______________________________
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