Add a Kitsap Business Link

KITSAP
HOMES
Online.com

Published by: Lee Fowler  (360) 779-8541 -Office Direct
of John L. Scott, Poulsbo   (360) 779-6293--Office FAX

Authorization & Information Form
for inclusion in the Kitsap Business Links directory at KitsapHomesOnline.com

COMPANY NAME:________________________________________ DATE:___________

OWNER or AUTHORIZED REP:_______________________________________________ 

TYPE OF BUSINESS: _______________________________________________________

LISTING INFORMATION

BUSINESS NAME & ADDRESS (Complete address as it should appear in the listing):

__________________________________________________________________________

__________________________________________________________________________

PHONE # to publish:__________________________________________________________ 

WEB ADDRESS to link: ______________________________________________________

TAGLINE DESIRED:________________________________________________________

~ For KitsapRE.com to contact you ~
PHONE, FAX & EMAIL: _____________________________________________________
I hereby authorize M. Lee Fowler of John L. Scott, Poulsbo WA Office, to add the above referenced company information to the Business Directory Links pages at KitsapRE.com. I also hereby certify that this company has obtained all licenses, permits, bonds, and other authorizations as may be required by governmental agencies to practice in the given industry. I understand that there is no charge for this online listing, and that either party may cancel it at any time. I agree that KitsapRE.com may contact me from time to time in order to verify that the information is current, and further agree to advise KitsapRE.com of any changes in information to help keep the directory current.

OWNER(S)/AUTHORIZED MANAGER NAME (Please print, then sign):

___________________________________________________________

______________________________________ DATE: _______________
Signature(s)