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Please take a minute to complete the form below. There is no charge for a residential listing but we must have an indication from you that you would like to be listed. There is no charge for a community organization listing, but we must know when names or numbers change.
We make every effort to keep up to date on changes in our listings, but there are some we miss in spite of our efforts.
Do you have an unlisted number? All listings will continue to be printed as shown until we
are notified in writing of a change. |
| This is a: | New Listing | Change | Addition |
HOW I WANT MY LISTING TO READ
| Name(s): | |
| Street Address: | |
| Phone: |
| Full Name: | |||
| Street Address: | Apt. no: | ||
| City: | |||
| State: | Zip: | ||
| Phone: | Fax: | ||
| Email: | |||
| Type of Business: | # Employees: | ||
| CEO/President: | |||
| Signature: | ________________________________ | ||
| Full Name: | |||
| Street Address: | Apt. no: | ||
| City: | |||
| State: | Zip: | ||
| Phone: | |||
| Do you plan to move this year? | Yes | No |
| New Address: | Apt. no: | ||
| City: | |||
| State: | Zip: | ||
| New Phone: | |||
| Projected Date of Move: | |||