Government of Canada Publications
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Publishing and Depository Services Distributor - Application Form
Print this form using your browser print feature. Fill in the form and fax or mail it to us.
Publishing and Depository Services
Public Works and Government Services Canada
Ottawa ON K1A 0S5
Canada
Fax: 1-800-565-7757 or 613-954-5779
Note: All personal information collected on this form is protected under the Privacy Act.
Your firm
Company Name:
Head Office Address:
Telephone:
Fax:
Business Address (if different from above):
Telephone:
Fax:
Email:
Web site:
Municipal License Number:
City:
Business established since (month/year):
Your people
President, Director General or General Manager:
Accountant or Comptroller:
Store Manager:
Buyer:
Your retail activities
Primary business (check one):
- Retail bookstore
- Other retail (non-bookstore)
- Mail order
- Subscription Agency
- Other (specify):
Are you open to the public during normal retail hours?
- Yes
- No
For bookstores only
Bookstores which meet the following criteria may be listed on our site and in other promotional material. Your bookstore must:
- be open to the public during normal retail hours
- have a place of business where the public can walk in and allow customers to browse, handle and purchase publications on the spot
Would you like to be listed on our Web site and in other promotional material?
- Yes
- No
If yes, can we link to your email and/or Web address from our site?
- Yes
- No
Would you like free display items that identify you as a seller of Government of Canada publications?
Counter-top Signs:
(13.5 x 5.5 cm)
Number: ____ (maximum: 3)
Door and Window Decals:
(13.5 x 5.5 cm)
Number: ____ (maximum: 3)
