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NaviGays Application
Listing Submission Form
Business-Listing-Form
Basic Information
Business Name :
Type of Listing :
- Select -
Hangout
Event
Entertainment
Health & Wellness
Leisure
Professionals
Hangout :
- Select -
Restaurant
Bar
Night Club
Cafe
Health & Wellness :
- Select -
Medical & HIV
Spa & Massage
Fitness
Spiritual
Leisure :
- Select -
Lodging
Travel
Cruise
Transportation
Professionals :
- Select -
Shopping
Realtor
Attorney
Financial
Insurance
Other
Other :
Business Location Details
Address (Line 1) :
Address (Line 2) :
City :
- Select -
Wilton Manors
Fort Lauderdale
State :
Country :
- Select -
Unites States (US)
Zip code :
Google Maps Link :
Google Maps link
Event Information
Title :
Date :
Location :
Ticket link :
Media Uploads
High-quality image and logo of your location (maximum size of each image 3 MB)
Upload Logo :
Choose Logo
Upload Photo :
Choose Photo ( Max 3 File )
Additional information :
Business Contact info
Website URL :
Phone :
Email :
Social Media Links
Facebook :
Instagram :
X :
WhatsApp :
YouTube :
Includes
Includes
Dine in
Pick up
Delivery
Contact Person
Full Name :
Email Address :
Phone Number :
Referred By:
I acknowledge and agree to the terms below.
Acknowledgment
You, the client, agree to indemnify NaviGays and/or Sach Ad Group LLC from any and all lawsuits and claims stemming from its use of materials, including photos, provided to it by you, the client. This includes trademark and copyright infringement claims. You also warranty that all materials provided to NaviGays and/or Sach Ad Group LLC are yours and do not infringe any other party’s rights, whether registered or not.
Final Confirmation
I confirm that all the information provided above is accurate.
Signature / Name :
Date :
Submit
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