Free Michiana - Featured Business Submission Form

This is a free opportunity for Businesses that have a Business Profile on FreeMichiana.com. If you have any questions, please email michele@freemichiana.com.

Business Name:

Street Address:   City:   State: Choose One Indiana Michigan

Zip Code: County of Business Location: Choose One Elkhart County - Indiana Fulton County - Indiana Kosciusko County - Indiana LaGrange County - Indiana Lake County - Indiana LaPorte County - Indiana Marshall County - Indiana Noble County - Indiana St. Joseph County - Indiana Starke County - Indiana Berrien County - Michigan Cass County - Michigan St. Joseph County - Michigan Van Buren County - Michigan

Business Telephone: Toll-Free: Fax:

Email Address:

Prize Description for the Random Drawing:

Please let us know where the winner shall claim their prize:

The random drawing must run at least 30 days and no more than 6 Months.

How long would you like this random drawing to run?:

Person to contact regarding this Submission:       

Featured Businesses shall remain on the Home Page (www.freemichiana.com) for a period of 1 week or more depending on the number of businesses waiting, but will never be less than one week.

Please remit a picture of your prize or a description of your gift certificate to: sales@freemichiana.com.