Keep in mind that your page will be unique - let your business’s personality shine through.

Business Name:_________________________________________________________________

Address: ______________________________________________________________________

Directions: _____________________________________________________________________

Phone: ________________ and_______________ Fax: ______________ e-mail: ____________

Corporate Link: _________________________________________________________________

Hours of operation: ______________________________________________________________

1.) List of Service(s): ____________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

2.) Description of Service(s): ______________________________________________________

________________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

______________________________________________________________________________

_______________________________________________________________________________

3.) History of Business: ___________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

4.) Employee information: _________________________________________________________

______________________________________________________________________________

_______________________________________________________________________________

5.) What makes you special/unique?: ________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

6.) Are there any points of interest in respect to your business that you would like to link to?

We suggest at least three -(e.g. - a sports bar might want to link to NFL.com, NBA.com,

ESPN.com...etc.) : ______________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

7.) We suggest at least one photo to be included - if you are not able to supply them what would you like the pics to be of generally ( up to 3) - a scanned logo or graphic is considered one photo :____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

8.) You have the opportunity to offer your cyber visitors an exclusive coupon - please describe in detail exactly what you want to offer: _______________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

9.) Other info: __________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________