Membership Application Form

Click here for printable version of form

Name of Company/Organization:     
Address:                                       
City:                                             
Province:                                       
Postal Code:                                 
Telephone #:                                  
Fax #:                                           
Email:                                           
Website:                                       
Contact:                                        
Title:                                             

Description of Business (Feel free to include any specials, features, hours of operation, etc.):


Select Type of Business:

Restaurant
Entertainment Hot Spot
Sporting Venue
Arts & History
Other:


Restaurants

Check off the catergory(s) in which your restaurant would be listed in the nightontown.com website. (Maximum 2 selections)

Asian
Fine Dining
Pizza
Ethnic
Buffet
Family
Downtown

These are additional and have no additional charge:

Menu (2 Page Maximum)
Map


Arts & History

Check off the catergory in which your establishment would be listed in the nightontown.com website.

Art Gallery
Museum


By Clicking "I Accept" Below, the advertiser hereby agrees to the following Terms and Conditions, which are included and made a part of this agreement  as if fully set forth therein.

By Clicking "I Accept", Advertiser acknowledges that it has read all of the Terms and Conditions and fully intends and agrees to be bound thereby.