ModelRailroadCanada.com RETAILER LISTING FORM We invite you to become a part of ModelRailroadCanada.com. The concept is simple: just one short on-line form to complete. You can update the information at any time by emailing us at info@modelrailroadcanada.com A picture and the name of your store will appear on your province's Retailer/Dealer Home Page with a direct link to your listing. The listing includes the following: 1 (0ne) Picture or Graphic * Business Name, Address, Phone Numbers * Owner(s) Name (optional) * 50 (Fifty) Word Business Description * Email Link * Website Link, *Type of Payment Accepted at your business * Dates and Hours of Operation. You will be invoiced at your e-mail address using the Secure Payment System provided by PayPal and, when your payment is received, your link will be activated within 72 hours. The pricing is also simple - $90.00 (plus 5% GST) for each listing for one year. PLEASE NOTE: THUMBNAIL LISTINGS are shown on a first-come-first-served basis. ON-LINE RETAILER/DEALER LISTING FORM Please complete the following form and send it to us by clicking once on the 'Send Form' button. You will be invoiced at the e-mail address you have shown using the Secure Payment System provided by PayPal. You can also pay by Cheque or Money Order. Upon receipt of your payment in the amount invoiced, your link will be activated within 72 hours. You will receive a receipt via e-mail. If you have any questions please e-mail us at info@modelrailroadcanada.com FIELDS MARKED WITH * ARE REQUIRED! Business Name*: Address*: City/Town*: Zip/Postal: Phone(s)*: Owner(s)*: Use Owner(s) Name(s)*? E-Mail*: Website Address (URL): Description*: (50 words or less) NOTE: Please use brand names where possible Payment Accepted*: (e.g. Cash, Visa, etc.) Hours of Operation: (there is room for winter -summer, etc. hours) Which picture from your website should we use? I will email/mail you a picture: