| *First Name |
(required)
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| *Last Name |
(required)
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| *Email Address |
(required)
(invalid email format: someone@mywebsite.com)
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| *Choose a Password |
(required)
(password must be at least 6 characters long)
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| Mailing Address |
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| City |
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| State/Province |
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| Zip Code |
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| Phone (primary) |
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| Phone (secondary) |
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| Fax |
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| Website URL |
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| *Business Name |
(required)
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| Business Contact |
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| Business Address |
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| *Business City |
(required)
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| *Business State/Prov. |
(required)
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| Business Zip Code |
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| Business Phone |
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| Business Phone 2 |
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| Business Fax |
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| Business Email |
(invalid email format: someone@mywebsite.com)
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| Business Website |
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Please select up to three (3) categories below that you would like your listing to appear in.
You may also provide additional category suggestions in the textbox provided.
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| Category Suggestions |
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*Select a Listing
Type and Option
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(required)
More info...
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Small graphical listings should be 150 pixels high x 270 pixels wide
and be provided in '.jpg' image format.
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NOTE: This website is optimized to upload .jpg image files. Although other image formats are acceptable, we recommend using .jpg files to ensure that your images are displayed with the highest quality.
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Large graphical listings should be 200 pixels high x 500 pixels wide
and be provided in '.jpg' image format.
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NOTE: This website is optimized to upload .jpg image files. Although other image formats are acceptable, we recommend using .jpg files to ensure that your images are displayed with the highest quality.
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| *Payment Method |
(required)
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Please make checks payable to PreservationDirectory.com
and mail payment to:
PreservationDirectory.com
30 Bromley Road
Pittsford, NY 14534
Your business listing will not be displayed on the website until full
payment is received. Thank you!
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Submit Your Business Listing
Cancel |