PureHelena.com Business Registration
Privacy Statement
PureHelena.com is a local Helena effort. We won't share your info with anyone beyond putting your the info you provide in this form on the website. At some point, we may do some social media. We'll keep you in the loop. Promise.
Your Business Details:
Contact Person Full Name
*
First Name
Last Name
Business Name
*
This is exactly how your business will appear on PureHelena.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number for Listing
*
Please make this the number you want to show on the site
E-mail for Listing
Please make this the email address you want shown on the site
Phone Number
Please make this the number you would prefer that I call for confirmation
Email
Please make this the email that you want me to use for contacting you
How did you hear about PureHelena.com?
*
Please Select
Found you online
Flyer
Word of Mouth
Other
Please Specify
Special Instructions:
Tell us anything else about your business you think we should know, or if you would prefer not to be promoted on PureHelena
Please provide business bio of 50 to 75-ish words. We may edit it slightly.
Images or Logos
Please add up to three images or logos that you will allow us to use.
File Upload
Browse Files
Drag and drop files here
Choose a file
Upload an image in pdf, jpg, jpeg, png, gif formats
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Upload an image in pdf, jpg, jpeg, png, gif formats
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Upload an image in pdf, jpg, jpeg, png, gif formats
Cancel
of
Your images remain yours, but PureHelena may use them in any number of spots on the website to promote local business. We may also use images in social media to promote both your brand and ours. By signing, you authorize PureHelena to use these images in the following ways:
Website only- PureHelena.com
Website and Social Media
By adding my signature, I agree to all of the above conditions
*
Draw the image to prove your a human, please. Start with the dot and trace the image.
*
Submit
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