Registration Form
for Listing on interiorredesignexchange.com
Complete this form
and mail it in along with your check. If you are paying by credit card you
may mail or fax the form to: 760-728-9894.
Please be sure to
sign the form.
Name: ____________________________________________________________
Business
Name:_____________________________________________________
Mailing
Address: ____________________________________________________
Address
if you want it listed (optional): ___________________________________
E-mail
Address: ____________________________________________________
Website
Address: ___________________________________________________
Phone/Fax:
________________________________________________________
1)
What is the Largest Metropolitan City or Area are you near (within 2 hours)?
___________________________________________________________
2)
What geographical areas do you cover?
___________________________________________________________
3)
What services do you offer to clients?
___________________________________________________________
4)
Do you belong to any professional design organizations?
___________________________________________________________
5)
Are you going to send a photo of yourself for the listing?
Yes No
Payment
by:
check credit
card (fill out the following questions for CC payment)
Name
as it appears on the card: ________________________________________
Card
Number: _____________________________________________________
Expiration
Date: ____ / ___
Amount
of charge: _$_______
Street
number and zip code on card billing statement (ex. 136, 92028) __________
Signature: Date: _______
Payment for Listings
Payment
by credit card, or check, is required for a listing. Your credit card
will be charged for the full amount of the yearly fee. Once your payment
is received you will be added to the web site and that will be the date for
your yearly renewal. You will be reminded by e-mail and post mail prior
to the expiration of your listing. Listings are good for one year and there are
no refunds. Marie Kinnaman Interior Redesigns, Inc has the sole authority to
accept listings for interiorredesignexchange.com.
Listing Changes
All changes for the listing details must be received in writing via e-mail or post mail.