Request for Future Edition
Please add our business/organization to the next edition of the Disability Pocket Guide.
We would like to be included in the next edition. Please send a questionnaire form for our FREE listing to:
Name ______________________________________________________
Title ______________________________________________________
Business/Organization ________________________________________
Address ___________________________________________________
Suite _________________ P. O. Box ____________________________
City___________________________ State__________ Zip___________
phone (________) _______________ fax (________) _______________
Please indicate the category in which you would like to be listed, and/or your main products or services:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
_____________________________________________________
Please print out and mail this form to SNCIL, 6039 Eldora, Suite H-8, Las Vegas NV 89146
or fax back to (702) 889-4574.