Advertising Listing Information If you have difficulty using or submitting this form please contact us or call us at (561) 929-9929 - This form will time-out if left idle for more than 10 minutes  - Fields with a green * are required to submit this form
1. Please Select an Advertising Package Using the Drop Down Box:
* Online Advertising Package	Premium Listing Online e-Brochure $299 One-time Charge for 3 Years Basic Listing $99 One-time Charge for 3 Years
Promotional Code or Discount Offer
2. This Information Will Appear On Your Listing For Customers To Read:
* Business Name
Address
* City
* State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip Code
* Contact Person
* e-mail
* Business Phone (with area code)
Extension
* Web Site Address (or none)
* Wedding Service Category	Accommodations Bakery - Wedding Cakes - Cake Toppers Bartender - Barista - Service Staff Caterer Ceremony Site Chocolate Fountains - Confections Dance Lessons Decor - Up-Lighting - Party Supplies DJ Service - Dance Floor Lighting Florist - Floral Preservation Fashion - Tuxedos - Bridal Jeweler - Jewelry Design - Engraving Health - Beauty - Spas Honeymoons - Travel Agents Limousine Service - Auto Rentals Linens - Chair Covers Marriage Resources - Counselors - Attorneys Musicians Officiant Photographer Reception Site Rental Equipment - Tents - Furniture - Banquet Unique Wedding Services Videographer Wedding Favors Wedding Invitations - Calligraphy Wedding Planners
3. Additional Wedding Service Categories or States:
Optional - 2nd Category (Additional $50.00)	Accommodations $50.00 Bakery - Wedding Cakes - Cake Toppers $50.00 Bartender - Barista - Service Staff $50.00 Caterer $50.00 Ceremony Site $50.00 Chocolate Fountains - Confections $50.00 Dance Lessons $50.00 Decor - Up-Lighting - Party Supplies $50.00 DJ Service - Dance Floor Lighting $50.00 Florist - Floral Preservation $50.00 Fashion - Tuxedos - Bridal $50.00 Jeweler - Jewelry Design - Engraving $50.00 Health - Beauty - Spas $50.00 Honeymoons - Travel Agents $50.00 Limousine Service - Auto Rentals $50.00 Linens - Chair Covers $50.00 Marriage Resources - Counselors - Attorneys $50.00 Musicians $50.00 Officiant $50.00 Photographer $50.00 Reception Site $50.00 Rental Equipment - Tents - Furniture - Banquet $50.00 Unique Wedding Services $50.00 Videographer $50.00 Wedding Favors $50.00 Wedding Invitations - Calligraphy $50.00 Wedding Planners $50.00
Optional - 3rd Category (Additional $50.00)	Accommodations $50.00 Bakery - Wedding Cakes - Cake Toppers $50.00 Bartender - Barista - Service Staff $50.00 Caterer $50.00 Ceremony Site $50.00 Chocolate Fountains - Confections $50.00 Dance Lessons $50.00 Decor - Up-Lighting - Party Supplies $50.00 DJ Service - Dance Floor Lighting $50.00 Florist - Floral Preservation $50.00 Fashion - Tuxedos - Bridal $50.00 Jeweler - Jewelry Design - Engraving $50.00 Health - Beauty - Spas $50.00 Honeymoons - Travel Agents $50.00 Limousine Service - Auto Rentals $50.00 Linens - Chair Covers $50.00 Marriage Resources - Counselors - Attorneys $50.00 Musicians $50.00 Officiant $50.00 Photographer $50.00 Reception Site $50.00 Rental Equipment - Tents - Furniture - Banquet $50.00 Unique Wedding Services $50.00 Videographer $50.00 Wedding Favors $50.00 Wedding Invitations - Calligraphy $50.00 Wedding Planners $50.00
Optional -  4th Category (Additional $50.00)	Accommodations $50.00 Bakery - Wedding Cakes - Cake Toppers $50.00 Bartender - Barista - Service Staff $50.00 Caterer $50.00 Ceremony Site $50.00 Chocolate Fountains - Confections $50.00 Dance Lessons $50.00 Decor - Up-Lighting - Party Supplies $50.00 DJ Service - Dance Floor Lighting $50.00 Florist - Floral Preservation $50.00 Fashion - Tuxedos - Bridal $50.00 Jeweler - Jewelry Design - Engraving $50.00 Health - Beauty - Spas $50.00 Honeymoons - Travel Agents $50.00 Limousine Service - Auto Rentals $50.00 Linens - Chair Covers $50.00 Marriage Resources - Counselors - Attorneys $50.00 Musicians $50.00 Officiant $50.00 Photographer $50.00 Reception Site $50.00 Rental Equipment - Tents - Furniture - Banquet $50.00 Unique Wedding Services $50.00 Videographer $50.00 Wedding Favors $50.00 Wedding Invitations - Calligraphy $50.00 Wedding Planners $50.00
Optional - 2nd State (Additional $50.00)	Alaska $50.00 Arizona $50.00 Arkansas $50.00 California $50.00 Colorado $50.00 Connecticut $50.00 Delaware $50.00 District of Columbia $50.00 Florida $50.00 Georgia $50.00 Hawaii $50.00 Idaho $50.00 Illinois $50.00 Indiana $50.00 Iowa $50.00 Kansas $50.00 Kentucky $50.00 Louisiana $50.00 Maine $50.00 Maryland $50.00 Massachusetts $50.00 Michigan $50.00 Minnesota $50.00 Mississippi $50.00 Missouri $50.00 Montana $50.00 Nebraska $50.00 Nevada $50.00 New Hampshire $50.00 New Jersey $50.00 New Mexico $50.00 New York $50.00 North Carolina $50.00 North Dakota $50.00 Ohio $50.00 Oklahoma $50.00 Oregon $50.00 Pennsylvania $50.00 Rhode Island $50.00 South Carolina $50.00 South Dakota $50.00 Tennessee $50.00 Texas $50.00 Utah $50.00 Vermont $50.00 Virginia $50.00 Washington $50.00 West Virginia $50.00 Wisconsin $50.00 Wyoming $50.00
Optional -  3rd State (Additional $50.00)	Alaska $50.00 Arizona $50.00 Arkansas $50.00 California $50.00 Colorado $50.00 Connecticut $50.00 Delaware $50.00 District of Columbia $50.00 Florida $50.00 Georgia $50.00 Hawaii $50.00 Idaho $50.00 Illinois $50.00 Indiana $50.00 Iowa $50.00 Kansas $50.00 Kentucky $50.00 Louisiana $50.00 Maine $50.00 Maryland $50.00 Massachusetts $50.00 Michigan $50.00 Minnesota $50.00 Mississippi $50.00 Missouri $50.00 Montana $50.00 Nebraska $50.00 Nevada $50.00 New Hampshire $50.00 New Jersey $50.00 New Mexico $50.00 New York $50.00 North Carolina $50.00 North Dakota $50.00 Ohio $50.00 Oklahoma $50.00 Oregon $50.00 Pennsylvania $50.00 Rhode Island $50.00 South Carolina $50.00 South Dakota $50.00 Tennessee $50.00 Texas $50.00 Utah $50.00 Vermont $50.00 Virginia $50.00 Washington $50.00 West Virginia $50.00 Wisconsin $50.00 Wyoming $50.00
Optional -  4th State (Additional $50.00)	Alaska $50.00 Arizona $50.00 Arkansas $50.00 California $50.00 Colorado $50.00 Connecticut $50.00 Delaware $50.00 District of Columbia $50.00 Florida $50.00 Georgia $50.00 Hawaii $50.00 Idaho $50.00 Illinois $50.00 Indiana $50.00 Iowa $50.00 Kansas $50.00 Kentucky $50.00 Louisiana $50.00 Maine $50.00 Maryland $50.00 Massachusetts $50.00 Michigan $50.00 Minnesota $50.00 Mississippi $50.00 Missouri $50.00 Montana $50.00 Nebraska $50.00 Nevada $50.00 New Hampshire $50.00 New Jersey $50.00 New Mexico $50.00 New York $50.00 North Carolina $50.00 North Dakota $50.00 Ohio $50.00 Oklahoma $50.00 Oregon $50.00 Pennsylvania $50.00 Rhode Island $50.00 South Carolina $50.00 South Dakota $50.00 Tennessee $50.00 Texas $50.00 Utah $50.00 Vermont $50.00 Virginia $50.00 Washington $50.00 West Virginia $50.00 Wisconsin $50.00 Wyoming $50.00
4. Additional Ways For Customers to Reach You:
* Display Your e-mail	Yes No
* Display Your Street Address	Yes No
5. Additional Areas You Serve Within the State(s) You Are Signing Up For:
Optional - Counties, Municipalities, Districts, Metropolitan Areas, Regions or Cities
6. Social Media Marketing - Will Be Displayed On Your Listing:
Optional - Facebook (Included - Premium e-Brochure only)	No - I Don't Have a Facebook Account Yes - Get My Facebook Address From My Web Site Yes - I'll Email You My Facebook Address
Optional - Twitter (Included - Premium e-Brochure only)	No - I Don't Have a Twitter Account Yes - Get My Twitter Address From My Web Site Yes - I Will Email You My Twitter Address
Optional - Linked In (Included - Premium e-Brochure only)	No - I Don't Have a Linked In Profile Yes - Get My Linked In Address From My Web Site Yes - I Will Email You My Linked In Address
Optional -  Blog (Included - Premium e-Brochure only)	No - I Don't Publish a Blog Yes - Get My Blog Address From My Web Site Yes - I Will Email You My Blog Address
Optional -  You Tube (Included - Premium e-Brochure only)	No - I Don't Have a You Tube Video Yes - Get My You Tube Address From My Web Site Yes - I Will Email You My You Tube Address
Optional -  Vimeo (Included - Premium e-Brochure only)	No - I Don't Have a Vimeo Video Yes - Get My Vimeo Address From My Web Site Yes - I Will Email You My Vimeo Address
Optional -  Flickr (Included - Premium e-Brochure only)	No - I Don't Have a Flickr Photo Gallery Yes - Get My Flickr Address From My Web Site Yes - I Will Email You My Flickr Address
Optional -  Yelp Reviews (Included - Premium e-Brochure only)	No - I Don't Have Yelp Reviews Yes - Get My Yelp Address From My Web Site Yes - I Will Email You My Yelp Address
Optional -  dot429 (Included - Premium e-Brochure only)	No - I Don't Have dot429 Account Yes - Get My dot429 Address From My Web Site Yes - I Will Email You dot429 Address
7. Special Instructions For Your Listing:
We will combine the information you submit on this form with text and 14 images from your web site to create your Premium listing e-Brochure page. Some Clients prefer to be more hands on: - e-mailing images or text to us? - Signing up for several listings? - Different e-mail? - Different phone number? - Different contact person?
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