On-Line Business Directory Submission Form
This submission process is restricted to only CCBC Alumni.
All fields are required.
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Business Name: ____________________________________________________________
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Business E-Mail: ____________________________________________________________
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Business Website: __________________________________________________________
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Business Address: __________________________________________________________
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City / State / Zip: ____________________________________________________________
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Business Phone(s): _________________________________________________________
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Business Fax: ______________________________________________________________
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CCBC Graduate's Name: _____________________________________________________
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CCBC Grad Year: _________________________
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Business Description: ________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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__________________________________________________________________________
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Discount for CCBC Alumni? ______ Yes ______ No
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If Yes, how much and what for? _________________________________________________
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__________________________________________________________________________
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Also please send an image of your business logo or picture in JPG format to wdustman@ccbcmd.edu for inclusion on the
directory page. Please state ALUMNI BUSINESS DIRECTORY LOGO on the subject line of the email.
Mailing Information:
Please mail this form to:
CCBC Alumni Office
Alumni Business Directory
CCBC Dundalk, Room L-202
7200 Sollers Point Road
Baltimore, Maryland 21222
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