Directory Signup Form

East West Insure's Directory charges a low annual fee for each listing. A listing includes your name, a brief description (up to twenty-five (25) words) of your business services and a link to your website.
Note: You must have a web site in order to be listed in this directory.

Your listings will be placed in the city (or cities) of your choice with with your description(s). Note: We reserve the right to modify or change your description if it is, in our opinion, not suitable for listing in our directory. Your listing(s) should appear within one to two weeks after your submission.

Directory Listings are for 1 full year. Please review the Terms & Conditions.

Listing Fees
Annual Listing Fee

$24 Per City

$10 for each additional city

Your listing fees will be charged through PayPal and paid
to our web design and marketing company "Core Marketing".
- Paypal "securely" accepts Visa, MasterCard, and Debit Cards.

Please fill out the form below, completely, to request a listing.

Listing Information
New Or Renewal:
Name:
Company:
Street:
City:
County:
State:
Zip Code:
Telephone:
Facsimile:
Email:
Website:
If you are submitting for more than one city, you may list a different description for each city, or if you want to use the same description for each city, you only need to fill in the description once.

Reminder: Description limit is twenty five (25) words. Description will be cut off after 25 words.
  City
1st Listing
Description
  City
2nd Listing
Description
  City
3rd Listing
Description
  City
4th Listing
Description
 

By clicking the Submit button below, you confirm that you have read and agree to our terms and conditions.

A Listing Confirmation and Receipt will be sent within one business day after your request is received and your payment has been processed.

Note: If you are a client renewing listings, just fill in your name, firm name, e:mail address and listing requests. There is no need to fill out this entire form. If you wish to keep the same listings there is no need to fill in the listing city and description section.