Parishioner Business Directory Interest Form St. Raymond Parishioner Business Directory Advertising Form Thank you for advertising interest within the St. Raymond Parishioner Business Directory. Please take some time to provide both personal contact information along with your business advertising information for the directory. We will be securing advertising and payment for this booklet through Friday, October 8, 2021. The booklet will be printed for distribution prior to Thanksgiving. The advertising cost structure is as follows: If you have questions or need further assistance, please contact Fergal Tierney at firstname.lastname@example.org. Personal Contact InformationContact Name:* First Last Contact Phone:*Contact Email:* Business Directory InformationType of Business* Accounting Auto Repair Consulting Financial Services Florist Graphic Design Hair salon/Barber Home Repair and Maintenance Insurance IT Support Personal Trainer and Wellness Realtor Restaurant Other Specify Other:Name of Business/Company:*Please upload business logo here.Business Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If desired to be in the listing. Business Phone:Business Email Business Website: Any additional business information to be printed (for full or 1/2 pg advertising):St. Raymond Parishioner Business Directory page size:Full Page - $1000.001/2 Page - $500.001/4 Page - $250.00Payment Check - Please send/bring in a check made out to: St. Raymond (with Business Directory in the memo line) to the Parish Office at 301 S. I-Oka Street, Mount Prospect, IL 60056 Give Central, will direct automatically to site for payment Payment will be needed by Friday, October 22, 2021 for your business to be added to the directory. Consent I agree to advertising in the St. Raymond Parishioner Business Directory.NameThis field is for validation purposes and should be left unchanged.