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DO NOT fill out the following form unless you have paid for a directory listing.

Thank you for advertising with BedroomDivas.com, we are happy to welcome you to our group. Now that you have completed your payment, please fill out the appropriate information for the ad you purchased.

After you submit your information, it will be reviewed and an email will be sent to you when it has been added, usually within 12 hours.

Due to the increasing number of reps signing up it may take a little longer to ad your name, be assured it will be added.

Information for Directory Listing

Name ( required )

eMail Address ( required )


Party Plan

State you reside in


Address 1


Address 2


City


Zip


Country


Phone


Cell

What area will you do you do home parties

Website URL


URL of image for the map listing


Can you purchase products online (yes/no)




Description (500 char. max - enough to fill box below only)

How did you hear about this site?

Friend


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If Friend or Other please tell us where




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