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New Business Member Application

Thanks for your interest in Local First Arizona. Before you apply:

Fill out the form below to apply for membership.

Remember that you can always make changes to this information later as a member.
All entries will be visible to consumers except those stating "not visible".
Fields marked with * are required.

Company Name	*
Owner First & Last Name Not visible	*
Phone	*	Please use (123) 123-1234 format. This should be your public business phone.
Website		http:// Please use something like: www.yourbusiness.com
Business E-Mail Not visible		Not visible yet allows consumers to use our form to send you an email of inquiry. How does Local First keep email private?
Personal E-Mail Not visible		This email address is for our Admin to send your welcome & info emails. It can be the same as your business e-mail. Tell me again how Local First keep my email private?
Street Address		Can be visible or not, your choice.
City	*
State	*
Zip Code	*	Just a five-digit zip code please.
Tagline		5-6 words about your business for us to use when we introduce you in our newsletter that goes out to over 2500 Phoenix members & consumers or over 500 in Tucson & southern Arizona. More newsletter introduction info
Detailed Description Quick description tips		A clear, brief description that can be read at a glance.
Special Quick specials tips		Optional. Your financial inducement to those who mention Local First Arizona:
Username Not visible
Password Not visible		Quick password tips
Basic robot-prevention tool		Please enter the following code in the box below: 21409 So we know you are not an automated spam-bot.
Group Promotion Code
Remember that you can make changes to your listing anytime as a member. Once dues are paid, your page becomes active to the public and you can log in and add keywords so that consumers using Google, Yahoo, Local First AZ, and others can find what you offer. There is no extra charge for this service. Dues are paid once every 12 months and are due within 30 days of joining. Call us to use any credit or debit card, or send a check, or do a "send" from Paypal to info@localfirstaz.com.
Click "Save" to continue.

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