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Seniors Information Center - Provider Information Sheet
*Provider Name:**		Contact Name:

*Provider Sector:**		*Provider Category:**

*Address:**

*Community:**	Province:	Postal Code:

*Bus. Phone:**	Phone 2:	Fax:

*Email:**	Website:	Year Established:

*Description of Services:**
Provider's Remarks:

Senior's Discount?:	Free Estimate?:	Provider Licensed?:

Provider Insured?:	Provider Bonded?:	BBB Member?:

Home Based Business:	Local to St. Margaret's Bay:	Knowledge Based:

	Chamber Member:

The information in the Directory submitted by the service Provider shall be generally available to the public. The Association reserves the right to list the Provider and edit any of the information submitted. The services are not endorsed or recommended by the Association over other providers.