P.O. BOX 81, 58 BRUNSWICK AVENUE, SPANISH TOWN, JAMAICA, W.I. TELEPHONE: (876) 984-2044,984-5576-7  FAX: (876) 984-8589  Email: [email protected]

Adventist Business Owners APPLICATION FORM (Website)

A. BUSINESS OWNER INFORMATION 1.

NAME: ________________________________________________________________

2.

ADDRESS: ______________________________________________________________ ______________________________________________________________

3.

MAILING ADDRESS: _______________________________________________________ _______________________________________________________

4.

TEL: (876) __________________(876) ___________________(876)_________________

5.

EMAIL ADDRESS: _________________________________________________________

B.

BUSINESS INFORMATION

1.

NAME OF BUSINESS : _____________________________________________________

2.

BUSINESS ADDRESS: ______________________________________________________ _______________________________________________________________________

3.

MAILING ADDRESS: _______________________________________________________ ________________________________________________________________________

4. NATURE OF PRODUCT OR SERVICES OFFERED: __________________________________ _________________________________________________________________________ TEL: (876) _________________(876) _________________(876) _____________________ 5. EMAIL ADDRESS: __________________________________________________________ 6. TAG LINE: ________________________________________________________________ 7. ADDITIONAL INFORMATION: _________________________________________________ _________________________________________________________________________ _________________________________________________________________________

Adventist Business Owners APPLICATION FORM A ... -

P.O. BOX 81, 58 BRUNSWICK AVENUE, SPANISH TOWN, JAMAICA, W.I.. TELEPHONE: (876) 984-2044,984-5576-7 ○ FAX: (876) 984-8589 ○ Email: ...

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