Eugene Magazine Services Guide Submission Form

Contribute to Eugene Magazine's online Services Guide

Please fill out the following form to add your listing to our online Services Guide. Please contact us at trisha@eugenemagazine.com with any questions. Thank you for your participation!

Please contact us if a different guide (Dining, Recreation, or Retail) would be a better fit for your business.

Note: responses may be edited for grammar or length.

Question Title

* 1. Please enter your contact information

Name *

Company *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number

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* 2. Would you like the online Enhanced Service Guide membership with a link to your website, that will accompany Eugene Magazine’s e-book for $50/monthly (automatic credit card payment).

Yes, I would like the enhanced online Service Guide listing for $50 a month, which will include a photo and my website URL and a listing in the e-book

No, I don't want a membership

I would like more information about the Services Guide Membership.

Question Title

* 3. If you answered "Yes" to the previous question, please send a horizontal photo to trisha@eugenemagazine.com

Done

I will do this after I complete this form

Eugene Magazine Services Guide Submission Form

Contribute to Eugene Magazine's online Services Guide

Question Title

* 1. Please enter your contact information

Question Title

* 2. Would you like the online Enhanced Service Guide membership with a link to your website, that will accompany Eugene Magazine’s e-book for $50/monthly (automatic credit card payment).

Question Title

* 3. If you answered "Yes" to the previous question, please send a horizontal photo to trisha@eugenemagazine.com

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* 4. Business Hours

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* 5. Please categorize your business and the services you provide.

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* 6. Please provide a short description of your business.

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* 7. Anything else you would like to add?