The Money Making Website

What code goes into this input form? As I wish to get my directory listing working and need code for this. I'm a very new to WP and just found out how to implement the shortcode.

I want something you did in your image for the Format of your Links:

<div class="post">%TITLE%
<div class="entry">%DESCRIPTION%</div>
<div class="entry">%ADDRESS1%
%ADDRESS2%, %STATE%, %ZIPCODE%, %COUNTRY%
Ph : %PHONE%
Fax : %FAX%</div>
<div class="entry"><div class="postinfo">Category: %CATEGORY%</div>
</div>

Thanks