Navigator Listing Interest Form
Thank you for your interest in advertising your business in our new resource book! 

Please note: By submitting your ad placement request, you agree to be solely responsible for the accuracy and legitimacy of the information provided. Britt Assist reserves the right to reject businesses that are misleading, fraudulent, or misrepresent the  Britt Assist company. While we strive to accommodate preferences, placement within the publication is at our discretion. 
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Full Name *
Business Industry (Health, Beauty, etc) *
Business Name *
Business Email *
Business Location (City, State, Zip Code) *
Website *
Business Social Media Links *
Tell us about the service(s)/product(s) offered *
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