VANCOUVER ISLAND DESTINATIONS

                                             Tourism Promotion and Answering Services
                                          P.O. Box 691, Port McNeill BC V0N 2R0       
.                                               Telephone/Fax: 250-956-3656
                                               E-mail: info@northislandtours.com

                                    APPLICATION FOR INTERNET ADVERTISING

NAME OF BUSINESS:
BUSINESS LICENSE: Y/N (Town)                                               
CONTACT NAME/TITLE:
MAILING ADDRESS:
STREET ADDRESS:
TOLL FREE TELEPHONE:                                           TELEPHONE:
FASCIMILE:                                                                  CELL:
WEB PAGE:                                                                   E-MAIL:

DESCRIPTION OF BUSINESS and rates:

WEB ADVERTISING                                                                                                                            .

Includes: Contact information, description, web site and e-mail link (January 1 - December 31)

RATES: 1 web site $60.00 plus GST; 2 web sites $100.00 plus GST; 3 web sites $120 plus GST

WWW.NORTHISLANDTOURS.COM

WWW.TOURISMNI.COM

WWW.ALERTBAY.COM                                                                                                                                   

AUTHORIZATION:

I authorize VID to use pictures provided by my company/web site to promote my products(s)            Yes/No
I authorize VID to use text provided by my company/web site to promote my products(s)                  Yes/No

OTHER:

I am interested in a RECIPROCAL LINK                                                                                         Yes/No

I will pay Vancouver Island Destinations 10% COMMISSION for referrals resulting in a booking      Yes/No

I am interested in advertising in the NORTHERN VANCOUVER ISLAND BOOKLET                   Yes/No

.                                PLEASE MAKE CHEQUES PAYABLE TO C. DOWNING__________________

Operator/Business Representative signature_________________________________ Date ____________

Form Revised January 20, 2007                      Back to Promotion Page    or     www.northislandtours.com