Glasslinks Supplier Guide - Profile Listing Form

.	Supplier Guide Profile Listing Form Use this form to apply for a Profile Listing in the Glasslinks Supplier Guide. For a "Basic" Listing please use the Basic Listing Form.
	Listing / Rate Info	FAQ's	Supplier Guide

Do you currently have a Basic Listing?	Yes	No

If so, is the Listing ok as we have it?	Yes	Change as below

Company Information
As it should appear in Listing:

Company

Address 1

Address 2

City

State / Province

Zip Code

Country

Phone

Fax

Category Information
As it should appear in Listing:

1. Select Auto and/or Flat Glass	Auto Glass	Flat Glass

2. Select your Category (5 max) [To Select more than one category, hold down the Ctrl key]

3. Add New Categories (If not listed above, tell us what best fits your needs)

4. Comments / Notes Add any special instructions or comments.

Content Information
As it should appear in Listing:

	1. Graphic / Logo Source. Get the Graphic / Logo(s) for the Listing from What Source?		Our Web Site Will Mail it to You Will E-Mail Image(s) Call Us Other (Note Below)

Note:

	2. Text / Copy. What text and information should we list under your profile. Example: products; services; brands; slogans; ad copy; etc.		Get From Our Web Site Will Fax it to You Will Mail it to You Will E-Mail it to You Call Us Write it for us Text Listed Below

3. Text or Suggestions:

	4. E-Mail Contact(s). List any e-mail addresses / names to be listed in the profile.			Name / Department: E-Mail Address:
				Name / Department: E-Mail Address:

	5. Web Site Link. If you have a Web Site that you want to link to, list it here.			Web Site URL:

	6. Your Info.
	Submitted By: Your E-Mail: