Application For Listing in The Philadelphia City Directory
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	(* = Required Fields)
Your Name *
Email address *
Business Name *
Domain URL *
Listing Option *	Select Only One By Typing Yes in The Box
Option 1 Enhanced Listing	Enhanced listing linking to your Website - $45 (Annual Fee)
Option 1 Plus Logo	Enhanced listing + Your Logo linking to your Website - $65 (Annual Fee)
Option 2 Enhanced Listing	Enhanced listing linking to your Webpage on our site - $90 (Annual Fee)
Option2 Plus Logo	Enhanced listing + Your Logo linking to your Webpage on our site - $110 (Annual Fee)
Standard Listing	Standard listing linking to your Website - $20 (Annual Fee)
Business Type/Category
Products/Services
Competitive Advantage
General Comments
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