Life Coach Listing Placement Form
Annual
fee: $75
Questions?eMail us or
call 602-635-1987
Use
this online form to place your ad as a Life Coach. We are especially interested in listing Life Coaches with a Christian Science or metaphysical background. Once you have completed
the form, you will be taken to a page where you may
pay the $50/year fee online by credit card or you will
be given the mailing address to pay by check.
All
ads must be prepaid before they can run. [You will be
taken to a payment page once this form is completed.
Payment may be made by check or you may make a credit
card payment thru our secure online PAYPAL processing
link.]
Contact
Information (for our use):
First
and Last Name**
Company Name (if any)
eMail
Address**
Re-enter
eMail Address**
Submitter
phone number with area code**
Submitter
mailing address (for billing only)**
Special
instructions/questions
Information
which will appear in your listing:
How do you want your name to appear in the ad?**
Company name, if any:
Certifications, if any:
Address
listed in ad including postal code (optional)
City/State/Country **
Telephone
Number (including area code)
Mobile
Phone Number (including area code)
Text messaging - (optional
- no extra charge)
Fax
number - optional (including area code)
eMail
address (HIGHLY RECOMMENDED) - if you have not
opted for a free cspractitioners.com address
Religious affiliation or religious background:
Web
site - Do you have a personal web site
for your practice? We're
happy to list it. (optional
- no extra charge)
Blog
site - Do you have a personal blog site
(what
is a blog ) for your practice? We're happy
to list it. (optional - no extra charge)
Skype
ID - (optional
- no extra charge) what
is Skype? ]
Introduction/ad text - You are allowed a 250 character (letters and
spaces) introduction or ad text
printed with your listing (optional)
Photo - you may eMail
us a photo
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