Scuba Yellow Pages


Secure Server Listing Form

Standard Listing Submission

Payment may be made by


Standard Listing with logo - ($29. USD) (one-time fee)

We can copy your logo from your website or you may e-mail it to us (mail to

Copy from website. Will send by e-mail.

If you are making changes to an existing listing, please note this in the comments box below. There is no charge for changes on existing listings.

Please use normal puntuation. (Do not use all capital letters)

Business Name

Complete Mailing Adress (please include country)

Telephone Number(s)

Fax Number

E-Mail Address

Website Address

Business Description, Max. 35 Words (Located with your listing)

Contact Name (for our records only)

Additional Comments (not for posting)

Charge Account Information

Type of Charge (Visa, Mastercard)
Name (as appears on card):
Acct. #:
- - -
Exp. Date (month/year):
For Verification Purposes - 3 digit number found on back of your charge card.

Standard Listing
$29. USD - One Time Fee

You will receive an e-mail receipt once your card has been processed.
Your statement will reflect your payment to: Web Sites Designed (our parent company)


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