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Have a technical question?

Email:

webmaster@agencylink.ca

By thoroughly completing all fields you create a strong profile of your agency's capabilities.

Agency Registration Form

Agency/Freelance Company Name:

Main Contact Name:

Title:

Phone:

Fax:

Street Address:

City:

Province/State:

Postal/Zip Code:

Country:

Email (required in order to enable updates):

Web Site Address:

Which of the following marketing services do you provide:

Advertising - Creative	Advertising - Media	Branding
CSR	Direct Marketing	Government Relations
Graphics/Design/Printing	Interactive/Digital	Investor Relations
Photography & Videos	Promotions	Public Relations
Sponsorships	WOM Marketing	Writing (speeches, articles)
Other

Year Founded:

Parent Company:

Number of Employees:

List any additional Cities where you have offices:

2005 Revenue:

2006 Revenue:

2007 Revenue:

Hourly rate structure:

$ /hour

Comments:

List the top five industry categories that are your specialty:

Agriculture	Association	Automotive
Consumer	Corporate	Entertainment/Leisure
Food	Government	Health Care
Manufacturing	Natural Resources	Not For Profit
Professional Services	Retail/Fashion	Technology
Tourism	Transportation
Other

Please indicate any categories that prohibit you from providing consulting services
(ie. company policy, talent or resource limitations):

Current Client List that also identifies the tenure of the relationship:

Two client references with contact information:

Reference #1

Name:

Company:

Phone:

Email:

Reference #2

Name:

Company:

Phone:

Email:

List three dream clients:

List any Awards won:

Additional information:

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