FLORIDA CULINARY TRAILS

GUIDE

LEGEND OF THE DIAMONDS

APPLICATION FORM

Please print this form, complete and mail as instructed below

I am applying to have my name and contact information placed on the Florida Culinary Diamond Locator Guide.

Name: _________________________________________________

Address: _______________________________________________

City: ______________________ State: _________ Zip: _________ Country: ______________

Tel No: Home: ( ) _____________ Work: ( ) ______________ Cell: ( )____________

E mail: ________________________________________________

Web site: ______________________________________________

Profession or Work Activity  ____________________________________________

Please add my information to the Florida Culinary Trails Locator Guide

ANNUAL FEE:

Listing on Diamonds Guide - $50.00 USD - Artwork or Photography - Extra Charge

Enclosed is a Check for USD $ _____________________

Signature: ______________________________________ Date: _____________

Please print the form. Make your check payable to: Noreen Kinney

Send your completed Application Form and Check to:

Noreen Kinney, 7312 6th Avenue North,   St. Petersburg,  FL 33710

 

HOME