For changes, please enter *only* these three fields (note: whatever email you list here is what we will put on your listing):
Company Name (required):
Email (required):
Location (required): (city/state/country)
And the fields you want to change. You do not need to re-enter ALL fields for a change request.
Company Address:
City:
State/Province: (US/Canada, please use abbreviation)
Zip/Postal Code: (US, please enter 5 digit code only)
Country: (US, please enter as USA)
Phone: (USA/Canada please enter as 1 ### ###-####)
Toll Free:
Fax:
Contact (name only - no titles):
Email: (if you want to change the currently listed email address, enter the new email here)
Website (Subject to approval. Websites that don't represent the company will no be posted):
Hours of Operation: (if applicable; otherwise leave blank; enter as M-F 10-5, S 10-6, S 10-4, or if hours are same daily, 10-5)
Purple Unions Discount (response required): Do you want to offer a discount to folks who find you through our site?
5%
10%
15%
20%
25%
30%
$5
$10
$15
$20
$25
$30
No Purple Unions Disc
Any limitations to this offer? If not, leave blank (8 words or less - note, all discount offers will automatically say "Mention PURPLE UNIONS")
Description: up to 75 words (sentence case only)
Is Your Business:
Gay Owned
Lesbian Owned
Bisexual Owned
Transgender Owned
Gay Friendly
What region do you serve: max 3 words
Any Comments? (will not be included as part of your listing)
Clicking "Submit Your Changes" will add your changes to our que for processing. If you have any questions about this change request form, please contact us at info@purpleunions.com .