GREEN
PAGES 2009 entry form
Don't be left out of the 2009 Green
Pages! Enter your company or organization information below to
add or change your listing
-- free of charge! Required
fields are marked with an *asterisk. Use the TAB key to jump from field to field.
*I
want to:
Add new listing
Correct or change my listing
Remove my listing
Business or organization name:
*
(Check here
if we previously listed your company under a different name.)
If so, the former name:
*First
contact person name:
First name:
Last name:
Title or position:
Second contact person name (optional):
First name:
Last name:
Title or position:
Physical location (NOT mailing address)
Street/road, civic number:
City, town, village:
Mailing address:
Address: *
City, town, village: *
Province/state: * Postal Code: *
Phone and Fax numbers
(Please include area code. You may also indicate if number is
toll-free, cellular, a home number, and so on, in the space with
the number.)
Phone 1: *
Phone 2:
Fax:
Internet
E-mail address:
Web site address:
*Categories
Carefully select all the categories that apply to your company
or organization.
Company or organization profile (optional)
(A brief description which may include: principle products and
services; mission statement; area of specialty, etc.)
Please provide your name and e-mail
address so that we may verify your information, if necessary:
Name: E-mail:
Do you wish to be contacted about advertising
in the 2009 Green Pages?
Yes No
Click
"Submit" to send your information to Green Pages.
(You may also print this form and mail it to The Green Pages,
c/o DvL Publishing Inc., P.O. Box 1509, Liverpool, NS B0T 1K0.)

Copyright 2000
DvL Publishing Inc.
Rural Delivery | Atlantic Beef | Atlantic
Forestry | Atlantic Horse
& Pony