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Additional
Information about joining us
& Information
Thank you for your interest in iLocalFlorist.com.
Instructions: To apply, print the membership application, please answer the questions, mail membership application with a check for annual dues. (Annual dues of $49 cover the first 15 zip codes.There is a $5.00 fee for each additional set of 15 zip codes.)Date ________________
MEMBERSHIP APPLICATION
| Basic Information | |||
|
Business
Name:
|
__________________________________________ | ||
|
Address:
|
__________________________________________ | ||
|
City/State/Zip:
|
__________________________________________ | ||
|
Local
Phone:
|
______________________________ | ||
|
Owner
Name:
|
__________________________________________ | ||
|
Contact
Name:
|
__________________________________________ | ||
|
Contact
Email:
|
__________________________________________ | ||
|
Fax
Number:
|
__________________________________________ | ||
|
Toll-Free
#:
|
______________________________ | ||
|
Website
URL:
|
______________________________ | ||
|
Business
Email:
|
______________________________ | ||
|
Primary
Zip
|
(1)_________*Where your shop is located | ||
|
Secondary Zips
|
(2)_________ (7)_________ (12)_________ | ||
| (3)_________ (8)_________ (13)_________ | |||
| (4)_________ (9)_________ (14)_________ | |||
| (5)_________ (10)_________ (15)_________ | |||
| (6)_________ (11)_________ | |||
|
Length
of Membership: 12 months
|
|||
Annual Dues Only $49, (around $4.00 per month!). Listing includes up to 15 zip codes. Add $5.00 for each additional group of 15 zip codes.
Make check payable to iLocalFlorist.com
Print form and Mail To:
iLocalFlorist
11907 Dunlap
Houston, TX 77035
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