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Business & Contact Information

Legal Business Name:   Trade Name: 

Telephone:   Email:  Website: 

Address:
 City:  Department:  Zip:

NIT (tax ID):  Contact: First Name: Last Name: 

How Would Like Your Ad To Appear?                          

(All text must be in english unless exception is requested -- English Exemption Rules)

(Charges are waived for certain public services and government entities -- Charge Waiver Policy)

First Directory Listing                              

Package:  Basic Listing - $150.000/year Premium Listing - $300.000/year Request Charge Waiver  (premium listings are bold & appear first)

Category (ex: Health & Beauty > Medical > Plastic Surgery): 

Business Name (ex: Juanitas Salon & Spa): 

Address (ex: Calle 100 #22-20 Suite 101):  

Zone / Sector (ex: Chapinero):  

Telephone Number (ex: (1) 222-2222 x333): 

Web Site (ex: http://www.juanitaspa.com.co):  

Email (ex: info@juanitaspa.com.co):  

English Contact (ex: David Hernandez):  

Services (see example:)  Start Date: 

English Exemption (English Exemption Rules):  No, I Don't Qualify Yes, I Qualify   

Tell us why you qualify for English/Charge Exemption: 

Second Directory Listing                              

Package:         I Don't Need A Second Listing Basic Listing - $75.000/year (50% off) Premium Listing - $150.000/year (50% off) Request Charge Waiver  

Category (ex: Health & Beauty > Medical > Plastic Surgery): 

Business Name (ex: Juanitas Salon & Spa): 

Address (ex: Calle 100 #22-20 Suite 101):  

Zone / Sector (ex: Chapinero):  

Telephone Number (ex: (1) 222-2222 x333): 

Web Site (ex: http://www.juanitaspa.com.co):  

Email (ex: info@juanitaspa.com.co):  

English Contact (ex: David Hernandez):  

Services (see example:)  Start Date: 

English Exemption (English Exemption Rules):       No, I Don't Qualify Yes, I Qualify   

Tell us why you qualify for English/Charge Exemption: 

Comments Regarding Your Application:

After submitting this form please submit any photos of your business by email to info@colombiawow.com and reference the name of your business.

By pressing this submit button you understand that all applications are subject to approval and you agree to the terms and conditions of service of ColombiaWoW.com S.A.S.  

An account manager will contact you upon approval or to request more information.