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Directory Unification

If you need help with this form or have a question concerning
how to fill this form out or what information is needed...
Please call your account representative at 248.414.6860

Company Info

Company Name [ REQUIRED ]

Name that is used for all marketing

Phone Number [ REQUIRED ]

Main office or contact # for business activity

Contact Email [ REQUIRED ]

Email associated with website contact info

Street Address [ REQUIRED ]

City [ REQUIRED ]

Zip [ REQUIRED ]

Social Media

Need Administrative Management Access

Facebook Page URL

Login

Password

Google+ Page URL

Login

Password

Twitter Page URL

Login

Password

YouTube Page URL

Login

Password

Logo | Photos | Videos

Logo in "JPG" format

Attach Photo

Attach Photo

Attach Photo

Attach Photo

Attach Photo

Link to YouTube video ( if applicable )

Link to YouTube video ( if applicable )

Link to YouTube video ( if applicable )

Additional Information

Business Description

Your unique business profile that would be used in selling your products or services

Business Category

Business Hours

Monday : until :
Tuesday : until :
Wednesday : until :
Thursday : until :
Friday : until :
Saturday : until :
Sunday : until :

Accepted Payment Forms

ie Visa, Matercard etc.

Featured Message

This is your tag line or unique selling proposition

Featured Products & Services

Any special features that present your business as different from your competition

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