Bee Partner Application Form Need help with this application? Email [email protected] or call 647-546-3890. Please enable JavaScript in your browser to complete this form.A) Company or Organization InformationCompany or Organization Name *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeNumber of Employees *Tell us about your company/organization *B) A fee for participation in the Bee City Canada Partner program will be charged annually. Fees are used to offer our Bee City partners more resources, such as educational “Buzz” webinars, helping schools build pollinator gardens and promoting our Bee Partners.Bee Partner Price Tiers *Non-profits -Pay what you canMicro Business (1 to 5 full-time employees) - $200Small Business (6 to 50 full-time employees) - $500Medium Business (51 to 100 full-time employees) - $1,000Large Business (+100 full-time employees) - Please contact us**Bee Partner fees updated March 2021Fees can be paid through: Our website www.beecitycanada.org/donate, or by cheque. Mail cheque to Bee City Canada c/o Pollinator Partnership Canada PO Box 73619 Wychwood PO Toronto, Ontario M6C 4A7. Tax receipts will be provided for all payments. Bee City Canada is a federally-recognized charity (number 84169 5174 RR0001) and relies on financial assistance from business partners to support programming. Applicant's Name *FirstLastApplicant's Job Title *Applicant's Phone *Applicant's Email *EmailConfirm EmailAre you the primary contact person? *YesNoContact's NameFirstLastContact's PhoneContact's EmailEmailConfirm EmailC) Commitments & Actions1. Creating Healthy Pollinator Habitat: Describe your plans to create, improve and maintain pollinator habitat. *2. Educating Employees, Customers and the Community: Describe your plans to educate employees, customers and/or community members about the importance of pollinators and healthy habitats. *3. Celebrating Pollinators: Describe your plans to celebrate pollinators during International Pollinator Week (third week of June) or at other times. *D) Requested AttachmentsPlease submit a short 50-100 word write-up of why it is important to be a Bee Partner. *Attach your business logo (png format) with any usage guidelines. * Click or drag a file to this area to upload. Attach photos, videos, posters, documents or other media showcasing events, activities or initiatives. Click or drag files to this area to upload. You can upload up to 10 files. This will help us share the exciting news through our Social Medial outlets.E) Other RequirementsI/we, the undersigned agree to: *1. Publicly acknowledge your Bee City Canada Partner designation through your website, signage, social media and other means. 2. Annually renew for Bee City Canada Partner designation. A renewal application will be sent to you.F) Declaration and SignatureI/we, the undersigned, understand that the Bee City Canada Partner program consists of three commitments and that our company/organization is taking actions to support these commitments: We acknowledge the goal of Bee City Canada is to promote healthy, bio-diverse, resilient pollinator habitats in communities across Canada. We acknowledge that businesses have an opportunity to support bees and other pollinators through the Bee City program. We acknowledge that supporting pollinators fosters environmental awareness and increases interactions and engagements among employees and their customers and reminds us of our responsibility to protect the planet for future generations. Applicant's Signature *Print NameDate *WebsiteSubmit Application