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Vancouver Island Pink Pages
Listing Application Form

To apply for a listing in the Vancouver Island Pink Pages, fill out this form. It prompts you for all the information necessary to list your business, organization, or service. If a particular item is not applicable, do not select it or enter anything in the field, and it won't be included in your listing.

Information is available on listing features, fees, and graphic specifications.

The Vancouver Island Pink Pages reserves the right to edit materials accepted for submission, as well as to refuse such materials as cannot be edited to the satisfaction of all parties. We also reserve the right to change these guidelines and specifications without notice.

If you have any questions about filling out this form, please e-mail us.

 

Name and Contact Information

This information is for our records only. None of it will be put on the web site without your instructions.

Business, Organization, Service Name *
Contact's Name *
 Position or Title (as applicable)
Address *
City *
 Province *
 Postal Code *
Phone Number (include all 10 digits)
E-mail Address
 
* Required
 

Directory Listing

Directory Section and Listing Category

Select a section of the directory and then select a category within that section.

Business Services
     

Other Business Service Category (if not available in the above list)

Community Organizations and Resources
     

Other Community Organization and Resource Category (if not available in the above list)

Health and Medical Resources
     

Other Health and Medical Resources Category (if not available in the above list)

Listing Name, Address, and Contact Information

Enter the name, address, and contact information for your listing.
You can copy the name and contact information as entered above and then edit it, or you can enter different information.

Business, Organization, Service Name
Address
City
 Province
 Postal Code
 
Contact's Name (as applicable)
 Position or Title
Phone Number (include all 10 digits)
Additional Phone Number (second line, toll free number; describe and include all 10 digits)
Fax Number (include all 10 digits)

Internet addresses, either web or e-mail, can be included in your listing.
Two addresses are included in the cost of a listing. Additional addresses can be included for an additional cost.
Do not include the 'http://' or 'mailto:' prefixes in the addresses.

Internet Addresses (included in the listing cost):
1.
2.
 
Additional Internet Addresses (additional cost):
3.
4.
5.
6.

Graphics

If you want to add graphics to your listing, you can send the graphic files to us as an e-mail attachment.
Refer to the listing features and fees for the graphics specifications.

Top Line Graphic
Internet address to activate when the top line graphic is clicked.
       
Profile Graphic
Internet address to activate when the profile graphic is clicked.
       

Description

Provide a description of your business, organization, or activity, or any details that don't fit our questions or categories. This description is as you wish it to appear on the web site.

Paragraphs will be marked and counted where you press Enter. The first 250 characters are included with your listing. Additional characters can be included for an additional cost.

   

Status and Clients

Status
a wholly or partly GLBT owned or operated business
a GLBT-friendly business
a primarily GLBT-serving organization, club, or agency
a GLBT-friendly organization, club, or agency

Primary Clientele
GLBT
Gay and Bisexual Men
Lesbians and Bisexual Women
Transexuals, Transgendered, Transvestites
Everybody
All Men
All Women

* GLBT is an acronym referring collectively to gay, lesbian, bisexual, transgender, and other people.
The choices do not indicate any intention of illegal discrimination.

Operations Information (as applicable)

Hours open or meeting times

Rates or price range

Accepted
Cash
Cheque
Interac
MasterCard
Visa
American Express
PayPal
Other:

Smoking
Smoking areas available
Non-smoking areas available

Handicapped Access
accessible premises and lavatory
accessible premises, lavatory not known to be accessible
accessible with assistance; accessible lavatory
accessible premises with assistance
call ahead for details; location varies, special arrangements available, or accessibility may change

 

Listing Review

You can review your listing application, listing charges, and view a working illustration of your listing in a separate window suitable for printing or saving.

 

Banner Ads

If you want a banner ad on a category page or on the main Pink Pages page, you can send the graphic files to us as an e-mail attachment. Refer to the listing features and fees for the graphics specifications.

Category Page Banner Ad
Category page on which you want your banner ad displayed
Internet address to activate when category page banner ad is clicked
       
Main Page Banner Ad
Internet address to activate when the main page banner ad is clicked
       
 

Listing Charges

Feature Qty Price     per Total  
     
     
     
     
     
     
     
  ------  
Total Listing Charges    

Payment

The payment for your listing can only be made by cheque or money order; cash in not recommended through the postal mail system. Your payment must be received within 30 days of receipt of your application, or your listing will be removed pending payment.

Payments are payable to, and can be sent to:

Vancouver Island Pink Pages
PO Box 606
Commercial Station
Victoria BC  V8W 2P3

Invoices will only be issued upon request, or when the pending payment period has expired.

Please send us an invoice

 

How Did You Hear About Us?

word of mouth
Internet (please specify below)
magazine (please specify below)
community organization, resource centre (please specify below)
     

Comments

If you have any comments or clarification notes, you can include them here. They will not appear in your directory listing.

 

Submission Confirmation

Your submission confirmation code is    
If you are having difficulty reading the code, click on it to get a new one.

Enter the above code to confirm your submission