1.  Date of Submission

2.  Type of Submission: 

Add a new listing
Change information on an existing listing

3.  Contact information:  

First Name
Middle Initial
Last Name
Title
Business Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Business Phone
Reservations Phone
FAX

4.  Business Type

Please indicate the type of business.
(For example, B&B, Restaurant, Hotel, Museum, Theatre, Outfitter, Ranch, Tour Operator, Resort, Guide, Chamber of Commerce, Newspaper...)

Type of Business

5.  E-Mail Address

Please provide your e-mail address so we may contact you via the internet in case of questions about your listing.

E-mail

6.  Web Address

Do you have a web site?  If so, please give us the web address (URL) so we can validate your listing online.

URL

7.  Additional Comments:

Please add any additional comments you would like to make in the box below.   (Note, to add a description of your business, please fill out our form for "Listing with Description".  This is a paid service.)

8. Payment

You may submit your payment of $19.95 in US funds by check or credit card.

Check:  Please make your check payable to Go Northwest in the amount of $19.95 in US funds.  The mailing address is:

Go Northwest
P.O. Box 8037
Spokane, WA 99203

Credit Card:  Please submit your credit card information by telephone: 509-838-2377 or 206-715-1704; Fax: 509-838-0871; or regular mail.  The information must include the following:

Account Number  __________________   Expiration Date: _____

Card ID Number (back side of card):  _____

Name on the Card: _________________________

Mail Address as it appears on your credit card statement:

Street: __________________________

City: ______________  State: _______  ZIP: ___________

Please feel free to contact us by email at info@gonorthwest.com, or, telephone us at 509-838-2377 or 206-715-1704 during normal business hours if you have questions or wish additional information.

Thank you for your participation on Go Northwest!  We look forward to carrying your listing and bringing more visitors to your web site.

Want to upgrade to a Sponsored Listing and have your listing appear near the of the page, or section of a page, devoted to similar businesses and organizations?

You can do so for just $39.00 per year.  Just click the "Yes" option below and send a check in the amount of $39.00 in US funds made payable to Go Northwest and mail to:  Go Northwest, P.O. Box 8037, Spokane, WA 99203.  Your Sponsored Listing will be added upon receipt of your check.

Yes.  Please add a link and e-mail address to my listing.  I am mailing a check today.
No.  I do not want my listing linked to my web site at this time.

---

Congratulations!  You have now completed the Listing Form.  Click the "Submit Form" button below to register your listing.  (Note: You only need to click the "Submit Form" button one time.)

If you wish additional information or have any questions, please feel free to contact us by email at info@gonorthwest, by telephone at 509-838-2377 or 206-715-1704, or by fax at 509-838-0871 during normal business hours.

Sincerely,

Jack C. High
Editor and Publisher
GoNorthwest.com
P.O. Box 8037
Spokane, WA 99203
Voice: 509-838-2377 or 206-715-1704
Fax: 509-838-0871