Date:	JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember01020304050607080910111213141516171819202122232425262728293031200520062007200820092010
First & Last Name
Type of Business:
Business Name:
Business Address 1: (street or PO Box)
Business Address 2: (city/state/zip)
Business Telephone 1:
Business Telephone 2:
Business Fax:
Business Email:
Website Address: (http://www.businessname.com)
Length of time in business:
Length of time living in Sedona/Northern Arizona
Current Business Licenses/Professional Licenses (#'s):
Professional Affiliations & Memberships:
Listing Category 1:	Not Selected Bridal Magazines and WebsitesCakes & BakersCaterersConsultants & PlannersDisc JockeysFloristsHair, Makeup & SpasMusiciansOfficiantsPhotographersPlaces to StayRehearsal DinnersRentals and DecorThings To DoTransportationTuxedos & Formal WearVenues & ReceptionsVideographersWedding Accessories & GiftsWedding Attire & Jewelry
Listing Category 2:	Not Selected Bridal Magazines and WebsitesCakes & BakersCaterersConsultants & PlannersDisc JockeysFloristsHair, Makeup & SpasMusiciansOfficiantsPhotographersPlaces to StayRehearsal DinnersRentals and DecorThings To DoTransportationTuxedos & Formal WearVenues & ReceptionsVideographersWedding Accessories & GiftsWedding Attire & Jewelry
Listing Category 3:	Not Selected Bridal Magazines and WebsitesCakes & BakersCaterersConsultants & PlannersDisc JockeysFloristsHair, Makeup & SpasMusiciansOfficiantsPhotographersPlaces to StayRehearsal DinnersRentals and DecorThings To DoTransportationTuxedos & Formal WearVenues & ReceptionsVideographersWedding Accessories & GiftsWedding Attire & Jewelry
Business Description: (30 words or less)	Word count: 0   Words remaining: 30
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Do you choose to participate in SWPA's "Request Information" feature which sends you inquires from brides?	YES NO
References
Referral 1
• First and Last Name of Reference:
Name of Business (if applicable):
• Type of Reference:	Select Business Reference Bride/Groom Reference Other
• Phone Number:
• Email:
Referral 2
• Name:
Name of Business (if applicable):
• Type of Reference:	Select Business Reference Bride/Groom Reference Other
• Phone Number:
• Email:
Referral 3
• Name:
Name of Business (if applicable):
• Type of Reference:	Select Business Reference Bride/Groom Reference Other
• Phone Number:
• Email: