Listing

Welcome to Name and Shame Listing Form

If you have an Objection to your listing click on Button above

If you wish to List a Person or Company and have them listed on the Name and Shame.biz please complete the Listing Form below and forward it by email to:

The Cost of Listing is R499 - 00.

( Download the Credit Card Form and fax it to 086 244 6148 ( do not email it for security reasons )

Please use the Following Instructions

Name and Shame will list your Complaint on our site and the person will be emailed this information.

The listing will be for 7 years. The Person or Company has a right to respond to the complaint at a service fee cost.

Your name will not appear on the web site but only a reference no will be given.

The Listing must be in MS Word Format ( without any security codes ) and be an attachment to an email.

Do not box or border or use shading on any part of the Complaint or use Logo's or back ground water marks.

Do not use Bullets, Tabs, Tables or Paragraphs .

All wording to be placed on the left hand side of the Document and to be in Colour Black with the Format / Font - Arial size 12 Regular.

Do not put any Company names or trade marks in the body of the Complaint.

All Complaints are to be in English.

Cut and Paste the following on to a MS Word Document

COPY AND PASTE

Name and Shame Complaints Listing

NAME : : xxx ( replace xxx with the Persons name and delete this instruction.

PRACTICE NUMBER :xxx ( If it is a Doctor replace xxx with the Doctors Practice Number and delete this instruction.

PERSONS EMAIL ADDRESS :

xxxx ( replace xxxx with the Persons email address and delete this instruction.)

PERSONS PHONE NUMBER:

xxx ( replace xxx with the Persons Phone Number and delete this instruction. )

PERSONS COMPANY:

xxx ( replace xxx with the persons company and delete this instruction. )

COMPLAINT :

]

xxx } 10 lines ( replace xxx with your Complaint and delete this instruction.)

NAME :

xxx ( replace xxx with your name and delete this instruction ) Your name does not appear on the site, but only a reference number. We will send a email to the person informing them of the Complaint..

YOUR PHONE NUMBER :

xx ( replace xx with your Phone Number which will not be published )

By completing this form and emailing it you confirm that all the information is correct, and NameandShame.Biz will not be held responsible for publishing false information.

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Please Down Load a PDF format Credit Card Form and Fax it to 086 244 6148