Date
*
E-mail Address:
*
Name
*
(Please enter your name the way you would like it to be printed in the article.)
Business Name
*
(Please enter your business name the way you would like it to be printed in the article.)
Business Address
(If applicable. This information will be included in the article.)
Business phone
*
(this information will be included in the article)
Business website
(this information will be included in the article)
Years in business
*
If your business is relatively new, but you have additional experience in this field, please include that info here as well.
Business Mission Statement
*
What is the mission of your business?
Core Values
*
What are the core values of your business?
Philosophy of Service
*
What is your philosophy of service?
What additional information would you like to include?
*
(personal bio, what you enjoy about this line of work, how your business helps clients and their pets, anecdotes, etc.)
I affirm the following: I am authorized to provide the information included herein with regard to the business named above. I understand this information will be used to create a business profile (�Local Business Spotlight�) in West Suburban Dog magazine. The information provided is correct and neither I, nor anyone on my behalf, will take legal action against West Suburban Dog magazine for any reason pertaining to said profile. I understand I have no right or claim to review said profile prior to publication. I acknowledge that submission of this form shall constitute my legal signature.
*
*
Required
