HT Business Directory - Online Request Form

HOLY TRINITY BUSINESS DIRECTORY - Online Request Form
Last Updated: 03 JUL 2010

Business Listing Request Form

Instructions:
Complete the form with all pertinent information. Fields with a * are required.

You will be contacted to verify the information submitted and to arrange for collection of the $20 donation per listing (first two listings are free if you have a display ad in the Parish Guide Book & Directory).

For more than one listing (e.g., to advertise your business in more than one category), please complete a separate form for each listing.

Information About the Business
*Business Name:**
*Category:**	See list of current categories (new ones may be added).
Brief Description (appears online only):
Website:
*Phone:**
Fax:
Email:
Address:
City:	State: ZIP:
	Discount to Parishioners? YES
	Portion of Proceeds to HT? YES
	Online Coupon for HT Parishioners? YES


Information About the Associated Parishioner (only Name/Title are published; remaining info is for our records only)
*Your Name:**
Title/Association with Business:
*Home Phone:**
Cell Phone:
Personal Email*:
Home Address*:
City*:	State: ZIP:
	Contact me regarding a detailed ad in the Parish Guide Book & Directory.

DISCLAIMER: The information and advertisements contained in this directory are for informational purposes only. Holy Trinity Catholic Church has conducted no investigation of the advertisers contained herein and their inclusion should not be interpreted as an endorsement by Holy Trinity of their products and/or services.