Camping In Ontario Update Newsletter June 2019 September 2013 | Page 17

PubliC PerFormAnCe CoPyright
APPliCAtion Form

liCense

CommerCial Campgrounds
SeASoNAL LiCeNSe (MAy 1 to NoveMbeR 1, 2013)
Name of orgaNisatioN

Address

Prov.

City

postal Code

phone

Fax

MAILING ADDRESS (IF DIFFERENT)

Prov.

postal Code

City

phone

Fax

ContaCt person

E-mail

WEBSITE

FACEBOOK PAGE

Authorized by (complete nAme, position or AreA of responsibility)

Purchase order, credit card number or check (Please indicate)

YYYY

MM

exp. date :

NUMBER OF SITES
1-100: $150 + taxes

OPCA Campground member benefit — 25% off posted rates
101-200: $275 + taxes

MORE THAN 200: $400 + taxes

This liCense inCludes one pre-release. PRe-ReLeASe MovieS ARe AvAiLAbLe iN two (2) foRMAtS:
vHS wHiCH HAS No extRA CoStS, AND CUStoM DvD wHiCH HAS «DigitAL eNCRyPtioN fee».
Note that a standard handling fee of $5.00 will be charged for all licenses and $10.00 for all movie