Ad Booking Request Form

Contact information

Legal business name

First name

Last name

Phone number

Email address

Website

Provide us with your website and we will link your ad on our online Program Guide to your company website.

Invoice billing address

City

Postal code

Registration agreement

Agreement confirmation

By submitting this agreement, I confirm that I wish to place a camera ready ad in the program guide, published by the City of Burnaby.

Follow up obligations

I agree to submit camera ready artwork as per guidelines and the seasonal deadlines noted on the City of Burnaby website. Should I wish to cancel this agreement once confirmed, I understand that I may be obligated to pay for the entire cost of the ad that I originally reserved.

Payment obligations

I further agree to pay, in full, all charges upon receipt of invoice. If an invoice remains unpaid, advertising in future program guide issues will be suspended until the account is in good standing.

Your privacy

Your personal information is being collected and used for the purpose of contacting you regarding your program guide advertising request and will be managed in accordance with s. 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection your personal information and receipt of electronic messages, please contact Marketing and Corporate Communications at [email protected].

Ad Booking Request Form

Contact information

Ad request

Registration agreement