Linn County Business Directory

Name

I am an Individual Organization

PrefixFirst NameLast NameSuffix

Title

Organization

Department

Contact First NameContact Last Name

Image

Select Image:

Maximum upload file size: 40 MB.

Logo

Select Logo:

Maximum upload file size: 40 MB.

Addresses

<div class="widget-title">
				<h4>
					<span class="address-type">
					<label for="cn-address[::FIELD::][type]" >Address Type</label><select id="cn-address[::FIELD::][type]" name="address[::FIELD::][type]" ><option value="work" selected='selected'>Work</option><option value="home" >Home</option><option value="school" >School</option><option value="other" >Other</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-address[preferred][::FIELD::]" name="address[preferred]" value="::FIELD::" /><label for="cn-address[preferred][::FIELD::]" >Preferred</label></span>
</span></span>
					</span>
					
				</h4>
			</div>

</div>

<div class="address-line"><label for="cn-address[::FIELD::][line_1]" >Address Line 1</label><input type="text" id="cn-address[::FIELD::][line_1]" name="address[::FIELD::][line_1]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_2]" >Address Line 2</label><input type="text" id="cn-address[::FIELD::][line_2]" name="address[::FIELD::][line_2]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_3]" >Address Line 3</label><input type="text" id="cn-address[::FIELD::][line_3]" name="address[::FIELD::][line_3]" value="" /></div><div class="address-line"><label for="cn-address[::FIELD::][line_4]" >Address Line 4</label><input type="text" id="cn-address[::FIELD::][line_4]" name="address[::FIELD::][line_4]" value="" /></div>
			</div>

<div class="address-city"><label for="cn-address[::FIELD::][city]" >City</label><input type="text" id="cn-address[::FIELD::][city]" name="address[::FIELD::][city]" value="" /></div><div class="address-state"><label for="cn-address[::FIELD::][state]" >State</label><input type="text" id="cn-address[::FIELD::][state]" name="address[::FIELD::][state]" value="" /></div><div class="address-zipcode"><label for="cn-address[::FIELD::][zipcode]" >Zipcode</label><input type="text" id="cn-address[::FIELD::][zipcode]" name="address[::FIELD::][zipcode]" value="" /></div>
			</div>

<div class="address-latitude"><label for="cn-address[::FIELD::][latitude]" >Latitude</label><input type="text" id="cn-address[::FIELD::][latitude]" name="address[::FIELD::][latitude]" value="" /></div><div class="address-longitude"><label for="cn-address[::FIELD::][longitude]" >Longitude</label><input type="text" id="cn-address[::FIELD::][longitude]" name="address[::FIELD::][longitude]" value="" /></div>
				
			</div>

<input type="hidden" name="address[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="address"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Address

Phone Numbers

<label for="cn-phone[::FIELD::][type]" >Phone Type</label><select id="cn-phone[::FIELD::][type]" name="phone[::FIELD::][type]" ><option value="workphone" selected='selected'>Work Phone</option><option value="homephone" >Home Phone</option><option value="homefax" >Home Fax</option><option value="cellphone" >Cell Phone</option><option value="workfax" >Work Fax</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-phone[preferred][::FIELD::]" name="phone[preferred]" value="::FIELD::" /><label for="cn-phone[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-phone[::FIELD::][number]" >Phone Number</label><input type="text" id="cn-phone[::FIELD::][number]" name="phone[::FIELD::][number]" value="" />
			</div>

<input type="hidden" name="phone[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="phone"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Phone Number

Email Addresses

<label for="cn-email[::FIELD::][type]" >Email Type</label><select id="cn-email[::FIELD::][type]" name="email[::FIELD::][type]" ><option value="work" selected='selected'>Work Email</option><option value="personal" >Personal Email</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-email[preferred][::FIELD::]" name="email[preferred]" value="::FIELD::" /><label for="cn-email[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-email[::FIELD::][address]" >Email Address</label><input type="text" id="cn-email[::FIELD::][address]" name="email[::FIELD::][address]" value="" />
			</div>

<input type="hidden" name="email[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="email"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Email Address

Messenger IDs

<label for="cn-im[::FIELD::][type]" >IM Type</label><select id="cn-im[::FIELD::][type]" name="im[::FIELD::][type]" ><option value="aim" selected='selected'>AIM</option><option value="yahoo" >Yahoo IM</option><option value="jabber" >Jabber / Google Talk</option><option value="messenger" >Live Messenger</option><option value="skype" >Skype</option><option value="icq" >ICQ</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-im[preferred][::FIELD::]" name="im[preferred]" value="::FIELD::" /><label for="cn-im[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-im[::FIELD::][id]" >IM Network ID</label><input type="text" id="cn-im[::FIELD::][id]" name="im[::FIELD::][id]" value="" />
			</div>

<input type="hidden" name="im[::FIELD::][uid]" value="">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="im"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Messenger ID

Social Media IDs

Add Social Media ID

Links

<label for="cn-link[::FIELD::][type]" >Type</label><select id="cn-link[::FIELD::][type]" name="link[::FIELD::][type]" ><option value="website" selected='selected'>Website</option><option value="blog" >Blog</option></select>
<span class="preferred"><span class="cn-radio-group">
	<span class="cn-radio-option"><input type="radio" id="cn-link[preferred][::FIELD::]" name="link[preferred]" value="::FIELD::" /><label for="cn-link[preferred][::FIELD::]" >Preferred</label></span>
</span></span>

</h4>
			</div>

</div>

<label for="cn-link[::FIELD::][title]" >Title</label><input type="text" id="cn-link[::FIELD::][title]" name="link[::FIELD::][title]" value="" />
			</div>

<span class="target"><label for="cn-link[::FIELD::][target]" >Target</label><select id="cn-link[::FIELD::][target]" name="link[::FIELD::][target]" ><option value="new" selected='selected'>New Window</option><option value="same" >Same Window</option></select></span>
<span class="follow"><select id="cn-link[::FIELD::][follow]" name="link[::FIELD::][follow]" ><option value="nofollow" selected='selected'>nofollow</option><option value="dofollow" >dofollow</option></select></span>

</div>

<label>
					<input type="radio" name="link[image]" value="::FIELD::" >
					Assign link to the image.				</label>
				<label>
					<input type="radio" name="link[logo]" value="::FIELD::" >
					Assign link to the logo.				</label>

</div>
			
						<input type="hidden" name="link[::FIELD::][id]" value="0">
			
						<p class="cn-remove-button">
				<a href="#" class="cn-remove cn-button button cn-button-warning"
				   data-type="link"
				   data-token="::FIELD::">Remove</a>
			</p>
			
		</div>

Add Link

Linn County Business Directory

Name

Category

Image

Logo

Addresses

Phone Numbers

Email Addresses

Email Type Preferred

Messenger IDs

Links

Submit New Business Entry

Linn County Business Directory

Name

Category

Image

Logo

Addresses

Phone Numbers

Email Addresses

Email TypeWork EmailPersonal Email Preferred

Messenger IDs

Social Media IDs

Links

Submit New Business Entry

Email Type Preferred