When complete, please press 'Send' located at the bottom of this page.

The 2004/2005 Business Directory Form is a single submit form, no fees or additional information required.

You will not be placed on any mailing list and your information will not be sold, traded or made available for solicitation.

This information is intended to assist Internet users/customers in locating the appropriate business and business information.

Business Name, Phone Number, URL and Contact information is required to remove any or all business listings.

Business Name        

Address                   

Address (suite etc)   

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Zip                           

Phone number                Fax   optional

Business Categories  

    examples Computer Repair, Consultant, Real Estate, Restaurant etc.

Products/Services      

Contact person          

Web site link             

Optional                     How did you hear about 15551212.com? Always use this service Business Group e-World Networking Chamber of Commerce Word of mouth 15551212 Representative Other web site email Other

Confirmation should be sent to the following:

Name
E-mail
Phone

Please contact me.

 

                Problems? Please email us: email@15551212.com.