Suppliers Directory Registration Form

Price is just $95 for first category, $10 each additional

Plus: Add your LOGO for only $175 !
Fill in the form, then click submit button on bottom of page. We'll email you confirmation and an invoice.
Listings are valid for 12 months, starting in May. All fields with an * must be filled out.
Questions? Contact directory@wireropenews.com, 732-602-4006.
Name*
Personal email*

(Note: We need this to contact you. This email will NOT appear in The Suppliers Directory.)
Company*
Link my web address and/or LOGO to my company's website.
Link my web address and/or LOGO to my company's website.*
- No
- Link only (Extra $100.00)
- Link and Logo (Extra $175.00)
(Your web address will be highlighted, and when a potential customer clicks it, they will go directly to your website.)
Link only (Extra $100.00)
Please type your complete web address here:
Link and Logo (Extra $175.00)
Please type your complete web address here:
Upload your logo file (Max. file size: 500 MB, Max. files: 1, Filetype: JPG, PNG)
Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 500 MB, Max. files: 1.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Contact (26 maximum character count)
Phone
Fax
Email address
Do you want to be contacted about display advertising?*
Place a display ad in our magazine and you qualify to list and choose up to 10 categories FREE. ($185.00 Value!)
Ask for details: directory@wireropenews.com • 732-602-4006.
- Yes
- No
CHOOSE FROM THE FOLLOWING PRODUCT/SERVICE CATEGORIES
Optional: You can add a short, descriptive subhead on right – 35 characters max. including spaces. Must choose at least one category or the form will not register.
Category*
Subhead

35 maximum character count.
CAPTCHA

Suppliers Directory Registration Form

Price is just $95 for first category, $10 each additional

Plus: Add your LOGO for only $175 !

CHOOSE FROM THE FOLLOWING PRODUCT/SERVICE CATEGORIES