Restaurant Membership Application Section 1: Business Details Registered name of business Operating name of business Business owner or manager Contact Person Position Contact Number Email Chef's Name Chef's Email Mailing Address City/Town Postal Code Physical Address City/Town Postal Code Telephone Fax Email Website Social Media Information Twitter Instagram Facebook Operation Period of operation ---Year RoundSeasonal (June 1 - October 31)Other Section 2: Business Description Please provide a brief description of the experience provided at your restaurant, and how it exemplifies a Nova Scotia culinary tourism experience. Please note this description may be used in Taste of Nova Scotia promotional materials. *Please limit description to 100 words or less. Section 3: Food & Beverage Procurement Requirements Please send a copy of your menus to membership@tasteofnovascotia.com. If the menu changes seasonally, please provide two copies. Please indicate which menu items are sourced from Nova Scotia producers. Please provide a complete list of Nova Scotia suppliers. *Please note - Taste of Nova Scotia will contact listed suppliers to confirm. What proportion of products is purchased directly from Nova Scotia producers? Spring: % Summer: % Fall: % Winter: % Do you have a license to serve alcohol? YesNo If yes, please send a copy of your wine list to membership@tasteofnovascotia.com and identify what Nova Scotia wines you highlight. Please include any Nova Scotia wines featured that may not be included on your wine list: If yes, please send a copy of your beer list to membership@tasteofnovascotia.com and identify what Nova Scotia craft breweries you highlight. Please include any Nova Scotia craft beers featured that may not be included on your list: If yes, please send a copy of your drink menu to membership@tasteofnovascotia.com and identify what Nova Scotia spirits you highlight. Please include any Nova Scotia spirits featured that may not be included on your menu: Section 4: Industry Involvement Are you a member of any of the following industry associations? Tourism Industry Association of Nova Scotia (TIANS) Restaurant Association of Nova Scotia (RANS) Slow Food Nova Scotia Regional Tourism Associations Please specify: Other Please specify: Section 5: Restaurant Classification All food service establishments meeting the Taste of Nova Scotia membership requirements will be placed in one of the following categories. Please refer to the Restaurant Classifications for a complete list of category descriptions. ---Chef inspired casual diningChef inspired fine diningEssence of Nova Scotia - A Nova Scotia TraditionEssence of Nova Scotia - InternationalEssence of Nova Scotia - Pub & EateryEssence of Nova Scotia - Café / Tea Room Please provide an explanation for your category qualification: Section 6: Restaurant Membership Fee Structure Restaurant membership in Taste of Nova Scotia is based on a per seat basis for year round and seasonal operations. Please select which category you belong in: Year Round Operations: ---10–50 seats – $603.75 + HST = $694.3151–125 seats – $813.75 + HST = $935.81Over 126 seats – $1,023.75 + HST = $1,177.31 Seasonal Operations – Open between May and October: ---10–50 seats – $498.75 + HST = $573.5651–125 seats – $708.75 + HST = $815.06Over 126 seats – $918.75 + HST = $1,056.56 Application Fee: $100/business Please note the $100 application fee will be applied to the remaining Taste of Nova Scotia membership fees for all successful applicants. You will receive an email confirmation following the submission of your online application. Follow the link provided to pay your application fee online, or send a cheque to the Taste of Nova Scotia office. Your application will not be considered until payment for the application fee is received. Section 7: Declaration of Accuracy I declare that all information contained in this document is accurate at the time of signature. I have read and commit to the Taste of Nova Scotia restaurant membership criteria. View Membership Criteria I agree to notify Taste of Nova Scotia of any changes to my business resulting in it no longer meeting all the required standards. I understand that my business may be visited during the operating season to ensure that all Taste of Nova Scotia required standards are being met, and that if the standards are found to not be met, my participation in Taste of Nova Scotia will be suspended or revoked. Applicant's name: Position: Date: (Date format: yyyy-mm-dd) Δ