Order - Step 1

Sponsored in Part By:

ADD YOUR COMPANY TO OUR
LESBIAN LISTINGS

NOTES:

Businesses must be Lesbian / Gay-owned or Lesbian/Gay-friendly!
To qualify as a "Non-Profit Organization" you must be able to provide us proof of your 501(c)3 status.
The Lesbian Shopper reserves the right to refuse service to anyone, at anytime, for any reason.

* FIELD IS REQUIRED!

Your First Name		*
Your Last Name		*
Your Title		*
Company		*
Company Address		*
City		*
State/Province		*
Zip/Postal Code		*
Country		*
Company Phone		*
Your E-mail		*
URL
We are A		*

	Lesbian	Gay	Lesbian/
	owned	owned	Gay-friendly
Your listing will appear with the appropriate icon. If you do not wish an icon to be with your listing, you MUST check the box below:

Do NOT place an icon placed with this listing

Note: While we request that you choose the category you believe your ad should be listed under, The Lesbian Shopper reserves the right to place ads in the category we feel best suits them. In the event that an adequate category does not exist, we may opt to place the ad in the main category listing.

TEXT OF YOUR LISTING: (Up to 500 Characters only!)

NOTE: If you have chosen a graphic ad, please specify where the 120x35 or 350x40 graphic can be located, or if you will be emailing it. ( Email to kryss@lesbianshopper.com )