Business Directory Listing Update Name - Required Name will not be printed in directory. Reference only. First Name * Last Name * Company Name * .......................................................................................................................................................... UPDATE DIRECTORY LISTING Update Directory Listing ONLY if you have changes or corrections to your listing. If left blank, information will default to current data information on file. Company Name Business Phone - 1 Business Phone - 2 Business Fax Business Email Address Website .......................................................................................................................................................... PRIMARY REPRESENTATIVE First Name Last Name PRIMARY REPRESENTATIVE TITLE (CEO, PRESIDENT, OWNER, ETC.) Phone Email Address .......................................................................................................................................................... HUMAN RESOURCES REPRESENTATIVE Will not be listed in directory. Used for correspondence. First Name Last Name TITLE Phone Email Address .......................................................................................................................................................... BUSINESS PHYSICAL ADDRESS Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code BUSINESS MAILING ADDRESS Address Line 1 Address Line 2 City State Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code Description of Business Number of Employees Category - (select only 1) ADVERTISING & MEDIA ARTS, CULTURE & ENTERTAINMENT AUTOMOTIVE & MARINE BUSINESS & PROFESSIONAL SERVICES COMMUNITY, CIVIC & RELIGIOUS COMPUTERS & TELECOMMUNICATIONS CONSTRUCTION EQUIPMENT & CONTRACTORS E-COMMERCE FINANCE & INSURANCE GOVERNMENT & EDUCATION HEALTH CARE HOME & GARDEN INDUSTRIAL SUPPLIES & SERVICES LEGAL LODGING & TRAVEL MANUFACTURING & PRODUCTION PERSONAL SERVICES & CARE PETS & VETERINARY PUBLIC UTILITIES & ENVIROMENT REAL ESTATE, MOVING & STORAGE RESTAURANTS, FOOD & BEVERAGES RETAIL & SPECIALTY SHOPPING SPORTS & RECREATION TRANSPORTATON & LOGISTICS WHOLESALE & DISTRIBUTION Location of Company Headquarters Does your facility manufacture within the City of Industry? YES NO Is your business located in a: COMMERCIAL ZONE INDUSTRIAL ZONE UNKNOWN Thank You! If you have any questions, please email info@industrybusinesscouncil.org or call the IBC at (626) 968-3737