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* 1. Business Name

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* 2. Primary Business Contact Name

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* 3. Business Phone Number

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* 4. Business Email Address

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* 5. Business Address

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* 6. Business Website

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* 7. Please provide a brief description of your Business as it will appear on the Durham Business Listings webpage; we may also use this description for use on our Facebook page

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* 9. If Other, please provide Business Category

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