Choice Directory, www.choicedirectory.net

Cell Phone Listing Request and Authorization Form

(there is no need to fill out this form if you already have a published phone number as you should be listed)

Type of listing: Business
Residence
I would like to include my cell phone listing or brand new phone number in the upcoming edition of the following telephone book:
First Name:
Last Name:
Address:
City:
State:
Phone Number to be listed in Directory:
Disclaimer: I understand this is a request to have listing in the telephone directory. Choice Directory will make every effort to insure the listing is correct and is listed. Choice Directory does not assume responsibility for omissions, inclusions or errors.
Renewal Please auto renew this listing every year

form creator
Choice Directory is in no way affiliated with the telephone company.