Enter the date of Application: -- mm/dd/yy  (eg 02/09/05)

Please provide the following contact information:

            Name       
  Street Address   
 Address (cont.)   
             City         
  State/Province   
 Zip/Postal Code  
         
      Work Phone   
      Home Phone  
             FAX         
          E-mail        
          Website      

Business Name:

List your region according to the Manitoba Explorers Guide:

Enter proposed dates of commencing business: -- mm/dd/yy

Operational Season (eg: May1 to September 30; year round):

Is your site presently fully developed or do you have future plans for expansion or improvement?

If you have future plans what do they entail?

What do you expect from being a member of Manitoba Country Vacation Association?

What is an appropriate time for your property to be inspected?

What telephone numbers can you be reach at to arrange an inspection time?

Do you supply accommodation? (yes or no)

Do you offer bed and breakfast accommodation packages (i.e. breakfast only)?  (yes or no)

Do you offer accommodation packages that can include other meals in addition to breakfast? 

Specify (eg. accommodation with breakfast and supper, accommodation and all meals)

Number of guest rooms available:        Total guest capacity: 

Describe the configuration of your accommodation facilities: Number and type of beds available for each room (eg. 1 room with 1 queen and 1 double - en suite 3piece bathroom, 1 room with 2 twin beds - shared 4pc bath,  you can mention if cot or crib are available for specific rooms)

Number and type of bathrooms (eg. two shared, one en suite):

Other related facilities:

Do you supply meals to day time visitors that are not overnight guests? (yes or no)

What type of meals do you serve:

How and where are the meals served:

Is your operation on a farm or ranch? (yes or no)

Is your operation in a rural town or village? (yes or no)

Are you an outfitter or guide? (yes or no)

Do you offer school tours? (yes or no)

Do you offer day tours? (yes or no)

Do you welcome hunters or fishermen? (yes or no)

Do you accept pets? (yes or no)

Do you accept children? (yes or no)

Are you a non-smoking establishment? (yes or no)

Are you by "reservations only" (i.e. no drop ins)? (yes or no)

List your rates (state if prices include meals or list the additional meal costs):

Methods of payment accepted:

cash                     (yes or no)
travelers cheques (yes or no)
Interac                (yes or no)
Master Card        (yes or no)
VISA                    (yes or no)

Proposed write up to be inserted in the Manitoba Tourism Guide:

Provide clear driving directions to your operation:

Signature of Applicant (sign after printing this form)______________________________

Please enclose $50.00 application fee. Do not send cash. Make cheque or money order payable to Manitoba Country Vacation Association. Thank you.