THE CANADIAN SPACE INDUSTRY GUIDE 
QUESTIONNAIRE (page 1 / 3)

Please answer all questions, using as many keywords as possible
as your page is indexed within the Canadian Space Guide search
engine. Attach additional pages for each division and/or subsidiary
you would like listed. Once you have completed the questionnaire,
fax it to The Internet Conveyor  at 613-562-1784.


COMPANY COORDINATES
COMPANY NAME


ADDRESS


CITY                                              PROVINCE                          POSTAL CODE


GENERAL INQUIRIES / 1-800 NUMBER


MARKETING CONTACT (NAME, TITLE)


TELEPHONE                                   FAX                                    E-MAIL


BUSINESS DEVELOPMENT CONTACT (NAME, TITLE)


TELEPHONE                                   FAX                                    E-MAIL



COMPANY PROFILE
MAIN BUSINESS ACTIVITY (CHECK ANY):

o  Research & Development                  o  Manufacturer                 o  Retailer

o  Consulting Services               o  Other

EMPLOYEES:

o 1 - 10     o 10 - 100     o 100 - 1,000     o 1,000 - 3,000     o More than 3,000

ANNUAL INCOME:

o Less than $500K      o $500K - $1M      o $1M - $10M      o Greater than $10M

YEARS IN BUSINESS:


STOCK SYMBOL & MARKET IF PUBLICLY TRADED:




THE CANADIAN SPACE INDUSTRY GUIDE 
QUESTIONNAIRE (page 2 / 3)

MISSION STATEMENT:









ACTIVITIES / PRODUCTS / SPECIAL FACILITIES / SERVICES:
(Use keywords where possible)











































THE CANADIAN SPACE INDUSTRY GUIDE 
QUESTIONNAIRE (page 3 / 3)

SPACE PROJECTS IN WHICH YOUR COMPANY HAS PARTICIPATED:
(Use acronyms where possible)






























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DOES YOUR COMPANY HAVE A WEB SITE ADDRESS? 
We will install a link to your company's Web site in the Canadian
Space Industry Guide, for $95 per year for companies over 100
employees, and $45 per year for companies under 100 employees,
G.S.T. not included. You will be invoiced for this service. 

TO ARRANGE FOR AN ON-LINE LINK FROM THE GUIDE TO YOUR COMPANYÕS WEB
SITE, ENTER YOUR COMPANYÕS WEB SITE ADDRESS HERE:


PURCHASE ORDER NUMBER FOR THE WEB SITE LINK:

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PLEASE FAX THIS QUESTIONNAIRE TO THE INTERNET CONVEYOR 
AT 613-562-1784.

Although we make every effort to include all information your
organization provides in the Canadian Space Industry Guide, we
reserve the right to edit information to best suit our display
format. In no way does this form imply a contract for services
between your organization and The Internet Conveyor Ltd., except
where applicable.