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Survey/Form Review

Business Information

This information will be published on the City’s Business Directory

NOTE: The business directory is for Port Moody based businesses only.
Business Information
Name of Business (mandatory):
Business operates as:
Business Account Number (mandatory):
Address of Business:
Business Phone Number:
Email Address:
I give my permission for the above information to be post on the City’s Website (answer is mandatory)*

Help Port Moody Understand Our Local Economy
Years in Business in Port Moody:

Business Premises
Ownership Structure
Type of Business
Other - please specify:
Principal Market
Number of Full Time Employees:

Number of Part Time Employees:

I/we understand that information on my business will be shared through the City’s online business directory at and used as a local supplier list by the City. Personal information will not be shared*
Sign-Up to the City’s Business Email List!
Email Address:
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