Listings Input

DIRECTORY LISTINGS INPUT FORM

Please fill in as many of the fields as you can. The Fields with an asterisk (*) are required.
Someone will contact you to confirm your authorization to submit this information.
Note: to be eligible to appear in the Our Ramara database, your business must be located in Ramara Township.
If you are a community group or service, your organization must include or serve Ramara Township residents.

GENERAL INFORMATION    
*Name of Organization
or Business 		After Hours Phone #
*Office Phone # Fax #
Toll Free Phone # Contact Email Address
Emergency Phone # Website
*Preferred contact method        
Our Ramara coalition member? Yes      No    
*Description of business or organization:  
CONTACT INFORMATION    
*1st Contact Name   2nd Contact Name
*1st Contact Title 2nd Contact Title
*1st Contact Phone 2nd Contact Phone
LOCATION INFORMATION    
Building Name
if applicable
eg Brechin United Church 		Nearest Intersection
Building Name
(if required for Mailing Address) 		 
*Mailing Address  
Street Address
(if different from Mailing Address) 		Areas Served
Community Location
Municipality Hours of Operation
*City
eg Orillia, Brechin 		Dates of Operation
(eg May 24-Thanksgiving)
Province Accessibility for disabled
(check all that apply)
Elevator
Entrance
Parking
Washroom
*Postal Code    
Business 
    Service
    Retail
    Manufacturing
    Professional service
    Home Based 		Community or Social Service
        (non-profit)
    Health or Human Records
    Health Professional
    Government
    Municipal Records
    Child Care
    Education
    Religious
    Community Info Centres
 Club or Organization
       (non-profit)
*Category of Business:
(you may choose up to 3)		    
GREY AREA BELOW NEEDED BY CLUBS & COMMUNITY ORGANIZATIONS ONLY
*Executive Name 1 *Executive Name 2
*Executive Title 1 *Executive Title 2
*Executive Phone 1 *Executive Phone 2
 
Fees to belong
(dollar amount or none) 		Meeting dates
(eg 2nd Tues of each month)
Eligibility
(who can be a member) 		Date of Election of Officers (eg yearly on Jan. 1)
How to become a member
Phone # for hard of hearing 
Languages served Actively seeking volunteers? Yes      No
    Volunteer Description
(skills, characteristics of suitable volunteer)
AUTHORIZATION - Please provide your name and title. By submitting this information, you are agreeing that Our Ramara can use this information on their website and in print materials.
*Source name *Source title