Beach Road Directory Listing Application
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Name of Business_______________________________ Years in business______

Address __________________________________ Phone#_________________

City/Town___________________________________, NC  Zip______________

Type of business :____________________ Web Site ______________________

Listing Category :_____________________ Email_________________________

Section on Directory to add your business  ______________________
For Additional Questions Call 276-340-4BRD 

PRICING INFORMATION

• Business Listing for Surf shops, Souvenir stores and similar.....................$19.00/year
• Business Listing for Charters Boats and water equipment rentals ............$29.00/year
• Business Listing for Restaurants, Seafood and entertainment...................$39.00/year
• Business Listing for Hotels, Motels, Camping and Bed&Breakfast .........$49.00/year
• Listing your business in two categories (Hotel with Restaurant ). .............$59.00/year
• Picture Links on the directory. To add a picture of your business on the directory,
  add an additional $50.00/year
• Adding my business to the www.BeachRoadDirectory.com site.......$25.00 set-up fee  

(Send application and payment to: Beach Road Directory.com  PO Box 555 Ferrum, VA 24088)

 Owners Name __________________Owners Signature_________________ Date___________

Remit application and payment to:

Beach Road Directory.com
Post Office Box 555
Ferrum, VA 24088

Please allow 1-2 weeks for processing. The Beach Road Directory reserves the right to remove any
listings or links at anytime. Links to pornography and repeatedly broken or dead links will be removed.