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Directory Listing Form Request
To list your business or job on the KaimukiHawaii.com website, you must fill out listing request form below. There is NO CHARGE (FREE). This request necessary to legally enable us to have your logo and description on the site with permission. The listings must be in the immediate Kaimuki, Hawaii area.

Benefits: 1 Directory Listing, 1 Job Directory Listing, 1 Coupon Text Insert and more.

You have nothing to lose and everything to gain with exposure on the KaimukiHawaii.com Web site.

You will receive confirmation via email with a confirmation number and related info to finalize your request.

Important: Please check the box "ok to use content..." below so I can build your profile from the content on your website. It will only be used for your profile, events and news.
Note: It is your profile, you can have it changed, updated removed anytime.

Membership Contact Info
A * indicates a required field.
* First Name
* Last Name
Title
Company
* Address
* City
* State
* Zip
Country
* Phone (include area code)
Fax (include area code)
* E-mail Address
How did you find out Us?

Other Source - Please Specify:
Directory Listing Details
* Directory Listing Type
* Directory Company Name/Title
Directory Contact Name
* Address
* City
* State
* Zip
* Phone (include area code)
Fax (include area code)
Company URL (Optional)
Company Email (Optional)
Facebook URL (Optional)
Please use content (i.e. about us, company logo) from my Company URLs/Web site above for my profile. It will only be used for your profile and to promote your business. I understand I will have option to make changes/updates to my profile.
.
Directory Tagline - Optional)
This will go below your title to entice visitors to click on your link.
Directory Description
(Will show up in Profile Page Description)- Optional
Hours of Operation - Optional
Coupon Text
(Will show up on Profile Page in Coupon Area) - Optional
Coupon Expire Date
Comments for KaimukiHawaii.com Web Team/Management
Kaimuki Business and Professional
Association Member?
Yes

* Anti-Spam Checkbox-Please check the box to verify you are a real person and not a spam robot.

By submitting this request, you acknowledge that above information is true and correct to the best of your knowledge. You also understand that your membership/listing request is subject to approval by KaimukiHawaii.com management and you agree to the KaimukiHawaii.com Member Agreement Terms and conditions.
* I agree to Member Agreement Terms & Conditions.
 
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