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2. Businesses located in and around Clearwater may request to have their business advertised on the City of Clearwater website, www.clearwaterks.org, at no charge. For questions contact Courtney Zollinger at City Hall 620-584-2311.
4. Business Name*
5. Business Contact Name
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Fax Number
16. Email Address*
17. Display Email As*
    How would you like people to see your email listed on the listing?
19. Website Address
21. Description of Business*
    Let people know what your business does or how you can service them.
23. Business Listing Categories*

    Select all categories that apply

    1. Agriculture
    2. Automotice Repair/ Sales
    3. Banking
    4. Church
    5. Construction
    6. Convenience Store

    1. Entertainment
    2. Fitness
    3. Grocery
    4. Manufacturing
    5. Medical
    6. Miscellaneous

    1. Multi-Level Marketing Company
    2. Professional Services
    3. Restaurant/ Dining
    4. Salons
    5. Schools
    6. Utility Services
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field