Please complete the following:

*Name of Applicant:
(Company Name)
*Designated Representative:
(First and Last Name)
Mailing Address:
Location Address:
Telephone:
Fax:
*E-Mail Address:
Internet URL:
Type of Business:
Number of Employees:  Part Time
 Full Time
Description of Goods and Services:
Please indicate how you would like to receive mail from Destination St. John's:
 Email as above
 Postal Address as Above
 Fax Number as above
Please provide the following details as appropriate:
 Number of Accommodation Rooms
   Number of Restaurant Seats
   Square footage of Meeting Space