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Application for TransPages Listing - Recommendation

Thank you! We depend on people like you to keep our database up to date.

Please complete this questionaire to add your recomendation to the Transgender Michigan TransPages.

Business/Agency Information

This will be how they will be listed in the TransPages.

Category *

What category should they be listed under?

County

Some categories are subdivided by county.

Business/agency name

Address of business/agency

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone

Website

Did you want highlight an individual at ths business/agency? If not, skip this section.

Name

First Name

Last Name

Job title

If you want included in listing.

Verify Email

Short blurb

In case we have any questions.

Name

First Name

Last Name

Verify Email

Comments

Anything else we should know.