Business Directory Form - Town of Amherst

The Town of Amherst is committed to supporting the prosperity of our businesses and organizations and developing new opportunities for economic growth in our community. Part of this work includes compiling an accurate database. Would you please take a couple of minutes to review and update the information we have on file for you?

You can return this form by emailing jbacon@amherst.ca by fax at 902-667-5409, or by mail to:

Jeff Bacon
P0 Box 516
Amherst NS B4H 4A1
902 694-2161

Legal Business/Organization Name:(*)

Please type your full name.

Is your business permanently closed?(*)

Yes

No

Invalid Input

Joint Stocks Registration Number (7 digits):(*)

Invalid Input

Physical Address (Amherst location):(*)

Invalid Input

Contact Person:(*)

Invalid Input

Telephone:(*)

Invalid Input

Year this location was established in Amherst:

Invalid Input

Email address:(*)

Invalid email address.

Web URL:

Invalid Input

Current total number of FTE (full time equivalent) employees at Amherst location (including owners):

Invalid Input

(Example: an employee who usually works who usually works 21 hrs 1 week is a 21/35 0.6 FTE)

Current total number of volunteers:

Invalid Input

Are you planning to hire or replace employees within 6 months?

Invalid Input

Category that best describes primary function (Choose ONE):(*)

Please include us on a Town of Amherst business & organization directory. The directory will be made available online and in a printed booklet.(*)

YesNo Invalid Input

Check this box if you would like to receive occasional email correspondence and invitations to events from the Town of Amherst. (Your information will not be shared with any other organization.)(*)

YesNo Invalid Input