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City Directory
Small Banner - Annual $95.00
Banner Source _______________________________________________

Business Information:
Email Information: (Required)
Email Address
Business Name: (Both Required - If Applicable)
Business Name (XXX, Inc.)
Trade Name (XXX Stores)
Responsible Individual: (Required)
Last Name
First Name
Business Addresses:
Web Site
Street Address
Post Office Box
City
State / Province
Zip / Postal Code
Billing Address: (All Required)
Bill to the Same Address
Street Address
Post Office Box
City
State / Province
Zip / Postal Code
Telephone Numbers:
Toll Free Phone (800 - 888)
Local Phone (with Area Code)
Fax Phone (with Area Code)

Requested Directory
Accommodations
Business
Education
Employment
Governmental Agencies
Health Care
Legal and Banking
Manufacturing
Media
Products and Services
Real Estate
Religious Organizations
Shopping
Transportation
Travel and Tourism

Brief Description of Business Activities
Used to confirm placement in the Directory

Business' Description Phrase
Limited Words by Listing Type (ie "Cheaper than the Guys Next Door")

Upgrades
Available at extra cost with Linked, Basic, Standard, National Listings
Bold Pointer
Additional Pointer
Number of Bold Pointers
Number of Additional Pointers
Additional Cities or Classifications point to the same Listing
Visit Sample Pointers

Special Requests

Billing Information
Send Bill to Business Address Above
Send Bill to: