Directory form

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Directory form

Complete the form below to be added to our directory of community businesses. The cost to become listed is $10.00 per year. You may include company name, address, phone, fax, e-mail address, company web site, business hours and services offered. Please click the PayPal logo when you are through to make payments online.

First Name:

Last Name:

Email:

Company:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone Number:

What category would you like to be listed under?:

Comments:

Please give a brief description of what services or product you offer.:

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