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* 1. Your name (will not be used in directory)

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* 2. Which category best describes your business? Please only choose one.

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* 3. Business Name

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* 4. Business Address

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* 5. Business Phone

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* 6. Business EMail

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* 7. Business Website

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* 8. Include an advertisement for FREE! EMail your high quality .jpg or .png file to westwoodlandneighbors@gmail.com or include the url to access below.

Or... Use this space to tell us about your business.  We may use this information to give you a "Shout-Out" on West Woodland, Ballard Facebook page.  

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* 9. If your business is not located in the West Woodland Neighborhood, please provide your home address to confirm eligibility.  See neighborhood map below.

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