Arts & Culture Map Submission Form: Cultural Organizations

This survey will be used to collect information about your organization to be included in the Cultural Map on the City of Surrey’s public website.
Please note this is for SURREY-BASED ORGANIZATIONS ONLY. Once you have entered all the required information and proceeded to Page 2, you will be able to download a copy of the completed form for your records. Thank you!

*NAME OF ORGANIZATION:

ORGANIZATION DESCRIPTION: (Maximum 50 Words)*

*REGISTERED NOT-FOR-PROFIT?

WEBSITE ADDRESS:

*TELEPHONE NUMBER: (FORMAT 604-123-4567)

*CONTACT NAME:

*ADDRESS:
There are two options for entering and listing your address/location. You may provide your exact address which will be located on the public map, or the nearest intersection so we can locate you generally on the public map. Please use this example as a reference for entering your exact address or nearest intersection - Eg. 12240 102 Ave or 124 St & 102 Ave.

I would like to provide my exact street address.
I would like to provide the nearest intersection.

Please enter the address or intersection you would like listed.

IMAGE: Please upload one (1) promotional photo, meeting the following requirements:

File Format: jpeg
Image Size: 800px by 600px
Image Orientation: Landscape

By uploading this image you are confirming that you have permission to use it publicly.

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NOTE: Please double-check all the information you are submitting to ensure it is accurate and there are no typos.

*Thank you for completing this form to add your organization to the City of Surrey Arts & Culture Map.

In order to have your information posted we require that you provide consent.

Yes, I provide consent to the City of Surrey to post the information I submitted through this form to the City of Surrey's website.
No, I do not consent to the posting of this information.

Personal information is collected for the purposes of posting your organization on the Cultural Map of the City of Surrey’s public website. The City of Surrey is collecting this information under
Section 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection of personal information, please contact the Manager of Marketing and Communications at 13450 104 Avenue, Surrey, BC V3T 1V8 | 604-591- 4011 Privacy Policy

Download form including your responses to PDF Excel