Freeport/Stephenson County Web Ring Application

Please complete all of the required sections (*) before you submit this form. Before applying, you should also review the participation criteria. After your application has been accepted, you must add a web ring button to your site.

* Business or organization name:

* Contact person:

* Website URL:

* Type of organization:

Business ($100/year)
Nonprofit ($50/year)

* Your email:

* Your phone number(s):

* Street address:

* City, State & ZIP:

* Description (enter a short description of your site):

Are you a member or affiliated with any of the following (check all that apply):

	Freeport Area Chamber of Commerce
	Freeport Area Economic Development
	Freeport Park District
	Freeport/Stephenson County Convention and Visitors Bureau
	City of Freeport
	Stephenson County
	N/A

I understand that I will be billed for membership if you accept my application. *