REGISTRATION FORM
for
CANADA'S
WHOLISTIC & ALTERNATIVE DIRECTORY
by:
COCHRANE & AREA WHOLISTIC COMMUNITY
Name: _____________________________
Phone:___________________________
Located
at/clinic: _______________________________________________________
Address:_____________________________________________________________
Mailing
Address:_______________________________________________________
Web Page
Site:________________________________________
Email
Address:_____________________________
Date of
Registration:_________________________
Paid by
cheque #: __________________________
Specialties
for listing:
1.
2.
3.
4.
5.
We require
that you submit a bio or write up for your listings, preferably in Word.
WEB PAGE LISTING
- Listing under two sections - directory by city / town
and in the directory by practitioner
- You have up to 5 specialty listings to register under for
the modalities that you have to offer
- Listing in the featured members on the site and in the
newsletter each month - rotation of members
- Rotating business cards in newsletter and web site on a
monthly basis
- 3 additional advertising postings
This service is
$55.00 a year,
and covering Canada. Please print and fill out the form, submit a
check to:
Cochrane &
Area Wholistic Community
221
Baird Ave. Cochrane, AB T4C 1C8
Payable in Canadian Funds