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Business Directory Information

Date:
Company:
Name:
Position:
Please check one of the following
Application Status:

New Application - Please fill-in all information
Renewal - Keep listing the same as last year
Renewal - Change listing information (fill in new info below)
Address:
City:
Work Phone:
Fax:
Email:
Website:
Business Description:
Services Offered:
(List up to 4 services)
Business Category(s):
First category - $50 per year
Additional Categories - $25 each per year.
Comments:
(If your category is not listed above, suggest a category name here)
I have read the Business Directory Committment Form and I agree to conduct my business according to the Leadership NOW standard for professional ethics and integrity. I share the same beliefs in the Statement of Faith.

   


Make check payable to Leadership NOW and mail to:
11618 South Hudson Place
Tulsa, OK 74137

918-296-9104
918-298-0469 Fax
info@leadershipnowtulsa.com

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