Premium Listing Order Form

Premium Listing Registration Form

Choose as few as 1, or as many as all 5 Enhancement Options.
Your Full Name

First NameLast Name
Best E-mail
Business Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number

Area CodePhone Number
Special Instructions, Questions, or Concerns
Premium Listing Enhancement Options

Regular Price: $30 Each or 3 for $75 or all 5 for $99 - Enter Enhancement Information for each chosen item. Then check the corresponding boxes below to complete your order. (Note: One-Time Payment only - No Recurring Charges).
Hyperlinked Business Website Address
Hyperlinked Instagram Account Address
Hyperlinked Facebook Account Address
Business Tag Line (30 Characters Max)
Descriptive Info About Street Address (30 Characters Max)
Special Business Note (30 Characters Max)
Premium Listing Enhancement Options
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All 5 Enhancement Options (Limited Time Discount)$99.00
A complete Premium Package with all 5 Listing Enhancements

3 Enhancement Options (Special Discount Price) $75.00
Choose any 3 Enhancement Options

Hyperlinks to your business Website, and/or Facebook & Instagram pages$30.00
Clickable links that send people directly to your Website, and/or Facebook & Instagram Pages.

Business Tag Line Following the Name$30.00
Up to 30 Characters for a Slogan or to Describe Your Business.

Descriptive Info About the Street Address$30.00
Up to 30 Characters to Help Clarify the Street Address.

Business Special Note$30.00
Up to 30 Characters for any Special Note to be Added After the Full Address.

Framed Listing with a Dark Border$30.00
Add a Dark Border Around Your Listing to Frame It and Make It Stand Out.

Total $0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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Premium Listing Registration Form

Premium Listing Enhancement Options