Love Burke Living - Gold Membership Directory Listing: 74.95/yr
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Membership Enrollment Form
Gold Membership Directory Listing ~ Just $74.95/year
(This information to be held in strict confidence and will not be shared with any other party)
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Filter Type:
Email:
    Enter your email address above to activate our auto responder
Company Name:
Street
Unit:
City:
Zip Code:
P.O. Box:
City:
Zip Code:
Business Category: Choose Primary & up to 10 Other Categories
(Not All Choices Guaranteed To Be Listed But By Submitting, We Will Be Able To Better Determine Best Placement)
1.
2.
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4.
5.
6.
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10.
Located within a major commerce center:
(if other, please list)
First:
Last:
Title:
Contact Name (If Different)
Phone:
Toll Free:
Fax Line: 
Cell Ph:  
Home:  
Web Site:  
Alt Page:  
Email Address:   
GPS Coordinates:
Receive Monthly Newsletter: Yes  No
Your business motto/slogan and information (up to 75 words) about your business.
Attach Photos:
# 1.
# 2.
# 3.
# 4.
# 5.
Additional Information about where we can find text, photos and/or graphics to use in your listing
Display Content Information
Contact Name Yes  No
Street Address Yes  No
Telephone Yes  No
Toll Free Yes  No
Fax Line Yes  No
Cell Phone Yes  No
Home Phone Yes  No
 Email Yes  No
It is our desire to keep this directory up to date. We will gladly make corrections, additions and/or deletions of text at no additional cost.

Your membership is guaranteed renewable for life at this low rate as long as there is no lapse in service.

Love Burke Living

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