Example:   Acme Business Company     724-999-9000
                       123 Main Street, Sharpsville, PA 16150
                       Specializing in Antiques of All Eras
                       OPEN Mon thru Fri 9a-9p Sat 9a-3p
                       FAX 724-999-9999

Business Name
Address
City    State   Zip
Telephone # 
Business Slogan
Hours of Operation
2nd Telephone Label  (Example: Fax, Cell, Home, etc.)
2nd Number (Example: xxx-xxx-xxxx)

ADDITIONAL INFORMATION  (Required)

Owner/Manager Name 
Title 
County   E-mail

PAYMENT INFORMATION

Price = $39.95 One Time Charge for an Entire Year - NOT MONTHLY
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