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Directory Listing Form

Company Name & DBA (if applicable)
Billing Address*
City*
State*
Zip Code*
Country (if outside of US)
Primary Contact Name and Title*
Phone*
Alternative Phone
Fax
Email*
Enter Email Confirm Email
Website
Select One:*
- Corporation
- LLC
- Sole Proprietor
- Partnership
Month/Year Established
Sales Tax ID
Name and Phone of Owner/Partner/Officer
Describe Your Business:
Please describe
Education:
School*
Speciality*
Please describe
Certification*
Upload Certificate
To facilitate a faster approval process, you must upload your practitioner certification.
Max. file size: 50 MB.
Year Graduated*
License Number**
Communication:
How did you hear of us?**
Please describe
Last 3 Check Boxes*
- Send me the latest US Tax Help Association promotions, plus general news.
- * I have read and agree to the Terms of Use and Privacy Policy.
- * I have read and agree to the US Tax Help Association Advertised Price (MAP) and Internet Sales policies.

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