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Confirmation - Home Listing Registration Form |
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| Verify the entries you have made below. If there are errors or you wish to change any of the data, click the "back" button on your browser and make corrections as desired then (re)submit your registration. We will use the most recent "date & time stamp" to create your Home Listing. | |
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Your Name: |
tid_dr_your_name |
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Organization Name: |
tid_dr_org_name |
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Street Address 1: |
tid_dr_st_addr1 |
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Street Address 2: |
tid_dr_st_addr2 |
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City: |
tid_dr_city |
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State: |
tid_dr_state |
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Zip/Postal Code: |
tid_dr_zip |
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Country: |
tid_dr_country |
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Contact Name: |
tid_dr_contact_name |
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Voice Phone: |
tid_dr_phone |
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Fax: |
tid_dr_fax |
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E-Mail: |
tid_dr_user_email |
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Web Address: |
tid_dr_web_addr |
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Services: |
tid_dr_serv_desc |
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Category 1: |
tid_dr_area1_served |
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Category 2: |
tid_dr_area2_served |
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Category 3: |
tid_dr_area3_served |
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New Category: |
tid_dr_new_cat |
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Assistance with |
tid_dr_website_answer |
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Assistance with higher |
tid_dr_seo_answer |
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Staying in touch?: |
tid_dr_contact_answer |
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How You Found Us: |
tid_dir_how_found |
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Found us 'Other': |
tid_dr_found_other |
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Form OK?: |
tid_dr_feedback |
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Payment Method: |
tid_dr_pmt_method |
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Below is how your listing will
appear. Note that both the company name and your (www.)
web address will be linked to your website. This listing
has been configured to display in "next highest available position" within the
"next to top"
section of each product category you have registered for as shown above ("Category
1" - "Category 3").
"next highest available position" is assigned as received based upon the date and
time stamp of your submission. |
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tid_dr_org_name tid_dr_st_addr1 tid_dr_city, tid_dr_state tid_dr_zip Contact: tid_dr_contact_name tid_dr_phone Voice tid_dr_fax Fax tid_dr_user_email tid_dr_web_addr |
tid_dr_serv_desc |
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If you are satisfied with your listing, click the "Visa/MC Subscribe" PayPal icon below to pay for
your inclusion in The Interior Designer . com. |
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Or - mail your company check, made out to NetPath Communications, to:
Registrar, TheInteriorDesigner.com If you have questions or need additional information, contact us at: (949) 675-8792 PST |
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© 1998 - 2003 All rights reserved. No part of this website may be reproduced within another website without the express written permission of NetPath Communications. NetPath Communications and TheInteriorDesigner.com reserve the right to edit any information submitted through this form in order to improve accuracy, correct statements believed to be inaccurate, false or misleading and to comply with contemporary standards of decency and good taste. All copy submitted with this form may be used by NetPath Communications or TheInteriorDesigner.com in the pursuit of their business, without obligation of any sort to the person(s) or company submitting this copy.
If you have questions about this Designer Registration form or are experiencing difficulties, contact the Registrar at "registrar@theinteriordesigner.com".