www.marlowdirectory.org.uk

Input Form

Directory Entry, incl 80 words  £ 15.00

Only items specifically marked 'For entry in website' will be published; all other details will treated as personal information and will not be passed on to anyone else.

 

Fields marked * are required please, other fields are optional.

 

Tip: When inputting large blocks of text in a form, its a good idea to type this in 'notepad' first, then copy and paste into the form; you then have a record and in case of connection problems when submitting the form.

 

 

Your Name *

 

Your Email address *

 

Your Telephone number *

 

Your Address *

Number, Street, Town, Postcode

 

Category *

For entry in website. If there is a suitable one in the Index already, please input that, otherwise please suggest your own

 

Heading *

For entry in website. eg Organisation or Business name or Promotional phrase to be shown in Directory.

 

Sub Heading

For entry in website. (Optional) - maximum 5 words

 

Descriptive Paragraph

For entry in website - maximum 80 words

a line break counts as 5 words
words over the maximum are 20p each.

 

Website address

For entry in website

 

Email address

For entry in website

 

Telephone

For entry in website

 

Picture to be included in Entry? *

Please select Yes if you have a picture that you would like to be included in your entry.

 Yes

 

 No

 

Payment method *

Please select one

Credit/Debit
Card

PayPal
Account

Bank
Transfer

Cheque
 

Cash
 

Special
 

 

Continue