QUITTER Quitter Profile of food businesses in Brome-Missisquoi COMPANY INFORMATION Section to be completed by all companies * 1. Name of respondent * 2. Position in the company * 3. Common name of the company * 4. Name in the Quebec business registry (legal name) * 5. Type of organization Non-registered / registered self-employed Registered individuel business Partnership or limited partnership Incorporated company Cooperative NPO Association * 6. Year established * 7. Address * 8. City * 9. Postal code * 10. Toll free phone number * 11. Phone number * 12. Fax number * 13. General business email address * 14. Respondent's email address * 15. Web site * 16. Social Media Facebook Twitter LinkedIn Instagram Other (please specify) * 17. How to contact you? Mail Email Telephone * 18. Language English French * 19. Would you like to receive the Bulletin Brome-Missisquoi (CLD newsletter)? Yes No * 20. Would you like to be listed in the online directory of agribusinesses in Brome-Missisquoi (no fees, only your name and contact information will be released)? Yes No Page1 / 8 13% of survey complete. Suiv.