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Mobile App Business Listing and Coupon Form

Which municipality will this listing be for? If multiple towns, please call us at 207-465-8312.
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Your Name(*)
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Company Name(*)
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Address(*)
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Address 2
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City(*)
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State(*)
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Zip Code(*)
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Email(*)
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Phone(*)
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Annual Subscription
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Business Listing

The following fields will make up your business listing. Please submit an image with your listing. Images should be 580 pixels by 410 pixels. If in doubt, send what you have and we will try to resize it for you.
Image or Logo
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Title
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Subtitle
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Get details from your website?
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Custom Description
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Categories - Select All That Apply




























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Other Categories
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Email, if wanted in listing
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LinkedIn URL
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Website
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Coupon Details

Fill out only if selected above in the subscription field. Please submit an image with your coupon. Images should be 360 pixels by 270 pixels. If in doubt, send what you have and we will try to resize it for you. If you don't have an image, we will use a standard coupon image.
Coupon Image
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Deal Title
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Brief Description
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Disclaimer, Limitations or Exceptions
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Starting Date
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Ending Date
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Enter Start and Stop Times, if applicable
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Enter Days of the Week Coupon Can Be Used, Leave empty for all
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Full Deal Details
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Link to Terms or External URL
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Coupon Type

Please choose a type of coupon and fill out just that one section. If this is a custom offer, please leave the following sections blank.

Discount Coupon

 

Original Price
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Discount Amount, please indicate dollar amount or percentage ($10 or 10%)
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Buy & Get Coupon

 

How Many To Buy (Buy 2 Get 1 Free)
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How Many To Get Free (Buy 2 Get 1 Free)
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When you hit submit, you will be taken to PayPal's secure payment system where you can pay with your PayPal account or if you don't have one, it is a very simple process to set one up. If you prefer NOT to use PayPal, submit the form anyway but don't complete the PayPal sign-in. We'll contact you as soon as possible to setup other arrangements.
Please verify you are human(*)
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