Directory Input Form
for the Where to Go for Small
Business Information in Memphis and Shelby
County |
| Thank
you for deciding to submit or update a directory listing for your
agency. If you are correcting information, please list your agency
name as it appears in the directory, and complete those categories
where changes are necessary. |
|
1 NAME OF AGENCY
Please include the
full, official name of your agency. Also list any other names by
which your agency may be known. For example, the University of
Memphis is also known as MSU or Memphis State University.
PURPOSE
Please describe the purpose of your
organization.
|
2 ADDRESS
Enter the agency's address, including zip code. Also,
please enter any branches or alternate addresses for your
agency.
TELEPHONE
If an agency has more than one phone number, please indicate which one is
the primary number. Is there an answering
machine/service? Indicate if phone hours differ from regular
business hours. If you would prefer that your fax number or e-mail
address not be shared on the public database, please indicate
this.
FAX
NUMBER
EMAIL
TDD/TTY
WEBSITE
|
4 DIRECTOR
Please indicate the
agency's director, etc., along with his/her title.
CONTACT
PERSON
Please list person to
contact for each service, or the directors of specific programs or
services within the agency.
|
5 ELIGIBILITY
Please indicate
eligibility criteria (e.g., age, residency, income) for each
service.
|
6 FEES
These are any
charges or costs to be expected for
service(s). |
7 SERVICES
Please list each
service with enough detail that appropriate referrals can be
made.
|
8 PUBLICATIONS
Please list any
publications of your agency. |
9 ADDITIONAL INFORMATION
Please include any
information that will help to explain further your agency's
service.
|
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