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NAPCSE Professional Directory Listing

This worksheet is provided for you to submit your listing to The NAPCSE Professional Directory

Please Note the following guidelines for submission:

• Your motto or Tag Line are optional and are limited to 75 characters each. (Including spaces)
• Your description is limited to 600 characters . (Including spaces)

If you are a NAPCSE Professional Member, please be sure to indicate this in the notes field. Please indicate in the notes field if the billing address is different than the address supplied for your company (Billing Information is not required for NAPCSE Professional Members). A draft copy of your NAPCSE Professional Directory will be sent to you via the email address entered for your listing unless otherwise indicated in the notes field. If you choose you may also enter the same listing information from this form on hard copy and fax to 800-424-0371 attn: Professional Listings.

Upon approval and posting in the directory an invoice will be sent to the billing address supplied in this form. Rates are $50/6 months or free for professional members of NAPCSE.

Name:
Company Name:
Street Address:
City:
State:
Zip Code:
Telephone:
Fax Number:
Email Address:
Website:
Billing Address:		Same as above.
Name:
Street Address:
City:
State:
Zip Code:
Motto:
Header:
Description:
Notes: