Get Your Hands on Local, at Home – Market/Retailer Registration

Are you a local market or retailer that sells Nova Scotia grown and produced food and drink and is currently open for business? If so, and you’d like to be listed on our ‘Get Your Hands on Local, at Home’ page, launched in partnership with the Nova Scotia Department of Agriculture, please fill out the following registration.

Please note, all companies who request to be listed on this page will be assessed by Taste of Nova Scotia and the Department of Agriculture for eligibility to be included. If there are further questions around the information you provide, a member of the Taste of Nova Scotia team will be in touch.

If you have any questions about this form, please email us.

Business Details

Business name (as it should appear to consumers)

Contact Person & Title

Business Telephone

Business Email

Website

Business Description (please provide a brief description, of 100 words or less, about how your business is currently operating):

Physical Address

City/Town

Hours of Operation

Social Media Information

Twitter

Instagram

Facebook

Product Availability

Which of the following services do you currently offer? (Please select all that apply)
Retail ShopOnline OrderingPickupDeliveryShipping

Please provide instructions for purchasing/ordering options:

Please list all Nova Scotia products (along with the respective producers name) that you carry:

Declaration of Accuracy

I declare that all information contained in this document is accurate at the time of submission.

Applicant's name:

Position:

Date:

(Date format: yyyy-mm-dd)