Before completing this application form, please note the following:
The Government of Canada (GC) media planning cost guides are tools used for planning GC advertising campaigns. They are designed to address the most common needs of GC institutions and therefore, do not include every type of publication. Notably, specialized publications whose editorial content is mainly devoted to specific topics such as agriculture, arts and culture, entertainment, sports and finance, as well as magazines, directories and newsletters, are not required to complete this application form. These publications are selected as necessary based on specific needs of GC institutions and media availability. It is therefore strongly recommended that you read these instructions and the eligibility criteria below carefully before submitting an application.
Please note that publications must meet all criteria to be eligible. The evaluation questionnaire must also be fully completed in a clear and legible manner in order to be accepted. Incomplete applications are returned to the publishers.
It is also important to note that a listing in the media planning cost guides is not a guarantee that the publication will receive GC advertising placements. Being listed guarantees that the publication will be considered for GC advertising campaigns, but media selection is strictly the prerogative of GC institutions. This selection is based on a number of factors, including campaign objectives, target audiences and markets and budgets.
The GC's Agency of Record (AOR), Cossette Media, is responsible for maintaining the media planning cost guides and for evaluating publications in accordance with the criteria established by the GC. Evaluation results are communicated in writing to the publishers by the AOR. Please remember that the AOR has no influence on media selection for GC advertising campaigns; this responsibility is strictly the prerogative of GC institutions. To submit an application or if you have any questions on the eligibility criteria and the evaluation questionnaire, please contact Annie Dubois, AOR National Supervisor, at:
Annie Dubois
National Supervisor
Agency of Record for the Government of Canada
Cossette Media
200-801 Grande Allée West
Quebec City, Quebec G1S 1C1
Tel.: 418-521-3728 Fax: 418-647-2647
E-mail: Annie.Dubois@cossette.com
Note: Circulation reports are shared with GC institutions and contribute to decision making during the media planning process. To be accepted, these reports must contain no less than the information requested on the Publisher's Sworn Statement of Circulation.
The GC reserves the right to verify at any time and without notice whether newspapers listed on its media planning cost guides remain compliant with the eligibility criteria and the information submitted, and whether advertising rates remain aligned with those effective for each type of newspaper. Newspapers found to be non-compliant will be notified and their listing will be reviewed as necessary.
Address (street, city, province, postal code):
Postal address (if different from previous)
Tel:
Fax:
E-mail:
Web site (if available):
Name of publisher
Address (street, city, province, postal code):
Tel:
Fax:
E-mail:
Daily (must be published at least five days a week): [ ]
Weekly, bi-weekly, monthly or bimonthly: [ ]
Ethnic: [ ] Aboriginal: [ ]
English only: [ ] French only: [ ] Bilingual (English and French): [ ]
Other(s) (please specify): [ ]
Tabloid: [ ] Broadsheet: [ ]
Number of agate lines per page:
Number of columns per page:
Width of columns:
% of advertising:
MUST TOTAL 100%
% of articles covering local issues:
% of articles covering Canadian issues:
% of articles covering international issues:
% of articles covering other issues (please specify):
Tel:
Fax:
E-mail:
Address (street, city, province, postal code)
Name of sales representative for booking advertising space
Tel:
Fax:
E-mail:
Issue date:
Booking deadline:
Material deadline:
E-mail or FTP (File Transfer Protocol) address to submit avertising material:
English only: [ ]
French only: [ ]
Bilingual (English and French): [ ]
Other (please specify):
Net1 advertising rate (please specify agate line or modular format)
Agate line [ ] Modular [ ]
Expiry date of current advertising rate card (mm/yyyy):
Do you offer discounts for prompt payments (if so, please specify terms):
Do you offer additional discounts (if so, please specify terms):
1 The common practice of adding commission fees to the net advertising rate to obtain the gross advertising rate does not apply to the Government of Canada (GC) who pays no commission fees to advertising agencies and/or representation houses. The GC pays the net advertising rate.
If so, please include a copy of the study if you would like to make the information available to GC institutions. Studies are shared with GC institutions and contribute to decision making during the media planning process.
A copy of the study is attached. Yes [ ] No [ ]
I hereby declare that the information provided on this application form is true, accurate and complete.
PUBLISHER'S SIGNATURE
_____________________________________
PRINT NAME
_____________________________________
DATE
(MM/DD/YYYY)
_____________________________________
Information provided on this application form will be used strictly for media planning purposes of Government of Canada advertising campaigns. The GC reserves the right to verify at any time and without notice whether newspapers listed on its media planning cost guides remain compliant with the eligibility criteria and the information submitted, and whether the advertising rates remain consistent with those effective for each type of newspaper. Newspapers found to be non compliant will be notified and their listing will be reviewed as necessary.
ATTACHED
1. Please read instructions and eligibility criteria carefully on pages 1 and 2 prior to completing this form.
2. Complete all sections and obtain authorized signatures.
3. This statement must be signed by a commissioner for oaths, a lawyer, a notary or any other authorized official in order to be accepted.
4. Send the completed and signed original statement and application form, including the application checklist, and all required documents to: Annie Dubois, National Supervisor, Agency of Record for the Government of Canada, Cossette Media, 200-801 Grande Allée West, Quebec City, Quebec, G1S 1C1.
Name of publisher:
Address (street, city, province, postal code):
Tel:
Fax:
E-mail:
2 The six-month period must be during the year prior to the application.
Average paid [A]:
Average non-paid [B]:
Average circulation per issue [A + B]:
PROVINCE | MARKET(S) | NUMBER OF COPIES |
---|---|---|
Yukon | ||
Northwest Territory | ||
Nunavut | ||
British Columbia | ||
Alberta | ||
Saskatchewan | ||
Manitoba | ||
Ontario | ||
Quebec | ||
New Brunswick | ||
Nova Scotia | ||
Prince Edward Island | ||
Newfoundland |
I hereby make oath and declare that the above statement is true and agree to provide, upon request, records from which the above figures were prepared.
Declared before me at (city):
in the province of:
This (date):
day of (month):
20_ _(Year)
SIGNATURE OF COMMISSIONER FOR OATHS, LAWYER, NOTARY OR OTHER AUTHORIZED OFFICIAL
_____________________________________
PUBLISHER'S SIGNATURE
_____________________________________
PRINT NAME
_____________________________________
Information provided on this statement will be used strictly for media planning purposes of Government of Canada advertising campaigns. The GC reserves the right to verify at any time and without notice whether newspapers listed on its media planning cost guides remain compliant with the eligibility criteria and the information submitted, and whether the advertising rates remain consistent with those effective for each type of newspaper. Newspapers found to be non compliant will be notified and their listing will be reviewed as necessary.