WebForm2

*Business Name:

*Preferred User ID:

*Contact Name:

*Address:

*City:

*State:

*Zip / Postal Code:

*Primary Phone Number:

Alternate Phone Number:

*E-mail:

Fax:

Form of Payment:

*Type of business (Please state your major industry for registration only. Detailed categories can be selected in your account after the registration is complete.)

You do not need to be a member! Business Directory is open to all businesses.

I am a current member. I am not a current member but want to join now to benefit from the member discount.

Business Directory PREMIUM BUSINESS PORTFOLIO hosting fees for current members:

$120 for one year (Only $10 per month!)

I am not a current member.

Business Directory PREMIUM BUSINESS PORTFOLIO hosting fees for non-members:

$200 for one year (Only $16.67 per month!)

Once your submittal is approved, and we have received your payment, you will receive an E-mail confirmation from us with your User ID and initial Password.

Once you log in, please be sure to change your password.

You have 14 days free service to create your portfolio starting from the e-mail confirmation date.

PREMIUM BUSINESS PORTFOLIO service is subject to a one-time $12 activation fee.

Please forward your payment to us to within 10 days to secure uninterrupted service.

Thank you for using our directory service.