Advertising Agency Listing Application Form

You may apply online here or download the pdf application form to send to CARDonline.

Fill out the general information form below. When complete, click SEND APPLICATION TO CARD.

Where information is not available, indicate with n/a.

* indicates required field

GENERAL INFORMATION

Agency Name: *
Address: *
City: *
Province/State: *
Postal Zip/Code: *
Country:
Phone: *
Toll Free:
Fax: *
Email: *
Website: *

Does your website offer advertising space? Yes No

If yes, you also qualify for a free listing in the Online Advertising Services section. Please complete and submit the application form for your website listing by clicking on the 'Online' tile to the left of this screen.

CONTACT INFORMATION

You will be receiving an update of your information on a monthly basis. To whose attention should these updates be sent?

First name: *
Last name: *
Title: *
E-mail: *
To which address? (if different from address above)
Company:
Address:
City:
Province/State:
Country:
Postal/Zip Code:

List any branch offices, if any:

AGENCY INFORMATION

Give a brief description of the agency's profile. Refrain from using any branding phrases eg. largest agency in Canada, etc.:

Year established:

MEMBERSHIP AFFILIATION

Please indicate if your agency is accredited with one of the following and SUPPLY A RECENT LETTER OF ACCREDITATION (address below):

Canadian Association of Broadcasters (CAB)
Canadian Newspaper Association (CNA)

Please indicate if your agency is a member of one of the following and SUPPLY A RECENT LETTER OF AFFILIATION (address below):

Advertising Agency Association of Alberta
Advertising Agency Association of BC
Advertising Agency Print Production Association
Advertising Educators’ Association of Canada
Agency Owners Roundtable
American Marketing Association (Quebec Chapter)
Association Canadienne de la Radio et de la Télévision de Langue Française Inc.
Association of Canadian Advertisers Inc.
AMECQ
Association of Medical Media
Association of Quebec Advertising Agencies
l’Association de la Presse Francophone
Atlantic Association of Broadcasters
Audit Bureau of Circulations (ABC)
BBM Bureau of Measurement
BMA Business Marketing Association (Toronto Chapter)
The Broadcast Research Council of Canada
Bureau de Commercialisation de la Radio du Québec
Canadian Advertising Foundation
Canadian Advertising Research Foundation
The Canadian Association of Broadcast Representatives Inc.
The Canadian Association of Ethnic (Radio) Broadcasters
Canadian Association of Exposition Managers
Canadian Association of Fairs and Exhibitions
Canadian Business Press (CBP)
Canadian Circulations Audit Board (CCAB) Inc.
Canadian Community Newspapers Association (CCNA)
Canadian Direct Marketing Association
Canadian Farm Press Association/Association de la Presse Agricole
Canadian Magazine Publishers Association
Canadian Media Directors Council
Canadian Outdoor Measurement Bureau (COMB)
Canadian Printing Industries Association
Confédération Générale de la Publicité
Conseil des Directeurs Médias du Québec
Hebdos du Québec
Institute of Canadian Advertising/Institut de la Publicité Canadienne (ICA)
Magazines Canada (The Magazine Association of Canada)
Montreal Advertising Agency Print Production
Managers Association
National Advertising Benevolent Society (NABS)
Office de la Distribution Certifiée (ODC) Inc.
Ontario Association of Broadcasters
Ontario Community Newspapers Association
Outdoor Advertising Association of Canada (OAAC)
Periodical Publishers Exchange
Print Measurement Bureau (PMB)
Promotional Products Association of Canada
Quebec Community Newspapers Association (QCNA)
Radio Marketing Bureau (RMB)
Society of Ontario Advertising Agencies (Agency Forum)
Telecaster Committee of Canada Inc.
Television Bureau of Canada (TVB Canada)
Trans-Canada Advertising Agency Network
Western Association of Broadcasters

ACCOUNTS

List the names of the accounts your agency represents:

PERSONNEL INFORMATION

Number of employees:

Please list the key personnel. Include name, title, phone number, fax number, email and job function based on key below, as appropriate:

AC – Account Management
AD – Administrator
CL – Client Services
CR – Creative
EX – Executive Management
MA – Marketing
ME – Media
PR – Production
RE – Research

Please list the key personnel. Include name, title, phone number, fax number and email address and job function based on key below, as appropriate:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

Name:
Job Function(s):
Title:		Email:
Phone:		Fax:

I understand that CARDonline has the right to edit any and all information as supplied by the listee or on the listee's behalf. I further understand that all information regarding this listing is the exclusive property of CARDonline and may be stored, published and sold at the discretion of CARDonline and likewise may be modified, appended or deleted at any time in accordance with current editorial policies. Moreover, I agree to update this listing on a monthly basis or as requested by CARDonline.

I accept – Name: Date: mm/dd/yy

I decline

Send Letters of Affiliation/Accreditation to:

CARDONLINE
One Mount Pleasant Rd. 7th Floor
Toronto, ON M4Y 2Y5

Tel: 416-764-1617, 1-866-352-8805
Fax: 416-764-1705

Email: editorial@CARDonline.rogers.com