PP Directory Payment

This form is to sign up for a monthly listing, at a cost of $25/month. Purchasing a listing sets up monthly, recurring Paypal payments that you may cancel at any time. A cancellation will result in your listing being removed at the end of the monthly payment period. Please fill it out; the optional parts are marked, everything else is required information. You will pay on the next page.
1. Profile picture of you*
Accepted file types: jpg, png, pdf, bmp, jpeg.
Do not use a small image because it will get fuzzy. At least 300x300
2. Your Name, as you would like it to appear*
3. Your Company name, as you would like it to appear*
4. Link to your website*
5. A few sentences about you or your business to catch the reader's attention.*
6. Your Company Phone Number*
7. Your Company Email*
Enter Email Confirm Email
8. Up to 3 testimonials
Please leave a blank line between each one.
9. Notes, optional
Other things you'd like to tell us. Nothing added here will be displayed on the site.
You will pay on the next page. Please check the captcha and hit the Submit button below.
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