Business Directory Application & Edits Form

Name of your business.

Address of you business.

Phone number(s) of your business.

Email address of your business.

Opening date of your business.

Business description and services offered.

Hours of operation.

Name of owner/operator.

Contact information of owner/operator.

The owner/operators information will only be used by the Municipality of Southwest Middlesex and will not be included in the public business directory.

Any additional information you wish to see included an/or edited.