Restaurant Guide Sign Up Form

To list your restaurant, please provide the information requested.
Roman Communications also has three options to assist in the online promotion of your business. We will design, develop and host your website and link it to the Jaxdirect.com Restaurant Guide. We can provide a graphic banner link from the Jaxdirect.com Restaurant Guide to your existing web site. We can create an online presence using Jaxdirect.com to show your menu, a map link and contact information. Please indicate your preference below and we will contact you to discuss your custom promotion.


Please Add our Restaurant to the Jaxdirect.com Restaurant Guide.

             My Name:     

  My e-mail Address:     

   My Daytime Phone:     

    Restaurant Name:     

Restaurant Location:     

Restaurant Cuisine:     

Contact me about Promotion

We need a web site Quote
We need a graphic banner link to existing site 
We need Menu Presentation/Map link/Contact Information


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Neither Jaxdirect.com, its principals nor the ownership and management
 of Roman Communications accepts any liability for the publishing of the information you have provided.

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