LEES-SUMMIT.COM DIRECTORY

LEES-SUMMIT.COM QUICK REFERENCE PAGE MEMBERSHIP
Organization Name:
Address:
City:
State:
Zipcode:
Telephone#/Ext:
Organization Type:
Short Description of Business (80 Char.):
Shopping Location:
Other Shopping Location Not Listed above:
Contact:
Contact E-mail: (Not displayed.)
Entry Date:	8/7/08 at 19:45:28
Entered by IP:	38.103.63.17
User ID/Password	Name: Password:
Enter Keywords: (Values entered here will cause your organization to be displayed when visitors enter the same keywords in the search box. Seperate each word by a space. The words do not need to be repeated more than once.):
Enter Search Phrases: (Values entered here are published in the Index of the site at the bottom of the front page. Enter the products and services your organization offers. Seperate each by hitting the return key.)
Logo/Small Graphic: (Displayed on company list screen. Must be in JPEG format.)	Click Here to upload a Small Graphic
Website Address:
Public E-Mail Address:
Detailed Business Description:
Year Established:
Size of Business (# of Employees):
Business Hours:
Other Telephone Numbers and Descriptions:
Products & Services offered:
Address Description, (Close to):
Slogan
Company Name Banner (Displayed instead of a Text Company name if exists. Will be reduced to 700 pixels wide. Must be in JPEG format.)	Click Here to upload a Company Name Banner.
Large Graphic: (Business,Staff, Menu, ext. Must be in JPEG format.)	Click Here to upload a Large Graphic
Coupon: (Must be in JPEG format.)	Click Here to upload a Coupon Graphic.
Main Retail Shopping Category:
Other Retail Shopping Not Listed above:
Main Local Services Category:
Other Local Service Category Not Listed above:
Main Business To Business Category:
Other Business To Business Category Not Listed above:
Length of Service:	Week to Week @ $6.00/week (Cancel Anytime) Month to Month @ $19.00/month 12 Month Subscription @ $195.00/year (You may switch from month to month to annual at anytime.)
Payment Method:	Pre-Paid Enter Token ID: Invoice to Address Above, or Enter Billing Address below. We do not accept credit card payments over the Internet, but you may pay your invoice with a Credit Card. Any problems/questions/concerns about the billing process call 816-525-8836.

By submitting this form using the button below you represent that you are duly authorized and agree to legally bind the company, entity or individual listed above to the Hometown Solutions,LLC Service Agreement Terms and Conditions.

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