Canadian Jeweller

Step 1: Company Information

Company Name:
Address: City:
Postal Code: Province/State:
Phone: Fax:
Email: Web Site:
Marketing Contact: Head of Company

*For audit purposes we need you to answer a personal identification question. What is the first 2 letters of your town of birth?

My company is:	Manufacturer	Importer	Wholesaler	Retailer
	Designer	Distributor	Education	Services
	Assocation	Other:

Note: Maximum of 3 Listing Indexes.

All brands will be cross-referenced with companies. Brands are only applicable to Womenswear Suppliers and Textiles & business categories. PLEASE DO NOT LIST PRODUCTS OR PRODUCT CATEGORIES IN THIS SPACE. BRAND NAMES ONLY.

Step 2: Product Information
For this section you may need to refer to our Buyer's Guide Booklet for product category code
Please list in the spaces below the four-digit codes of your three primary product categories and the subcategories.

Primary Product Code

Subproduct code

Describe "Other"

Note: In this category, 23 is listed as "other." In the columnn at left, describe "other"

Example >>>>
3800 (Gemstone/Loose)

23: Rubellite

First
three
listings
are
free

Please list in additional product codes below: These will not be listed in the 2010 Directory unless a cheque for $25.00 per category is recieved from your company name. Please make the cheque payable to: Rive Gauche Media Inc.

Primary Product Code

Subproduct code

Describe "Other"

Additional
listings
$25 each

Step 3: Additional Information

Please list any permanent brach offices:

I want to ensure I stand out from my competitors. Please reserve a box ad.
I am interested in finding out how easy it is to advertise in the Buyers' Guide. Please have a representative call me.