| Your Name: | |
| License/Certification Number: | |
| Business Name: | |
| Category:**REQUIRED** | |
| Additional Category:One additional category FREE! | |
| Website: | |
| Email: | |
| City, State, Zip: | |
| Telephone: To appear in listing | |
| THREE Specific Modalities Most Used: |
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| I want the link listing at $10.00 per year. This listing will be a link on the directory page to your website only, along with your phone number. IF YOU HAVE SELECTED LINK ONLY LISTING, PLEASE GO DIRECTLY TO THE PAYMENT SELECTION BELOW AND DO NOT FILL IN THE OTHER INFORMATION BLOCKS BELOW. |
| I want the expanded listing at $25.00 per year. This listing will be a link to a page by itself, linked from the directory. If you do not have a website, this is a very inexpensive way to provide more info for your prospective clients & have a webpage to list on your advertising. Your address would be i.e. www.massagelane.com/smith.html. |
| I want a website at $100.00 per year. (4-page site with 4 photos, logo & complete text info about your business - i.e. http://www.massagelane.com/smith) |
I want a standard banner ad at $55.00 per year. (Banner is 500x200 pixels and will appear at the top of your state page in the directory) |
I want a bronze banner ad at $125.00 per year. (Banner is 500x200 pixels and can be placed on any of the interior pages of the directory.) |
I want a gold banner ad at $350.00 per year. (Banner is 500x200 pixels and will appear on the front page in the directory) |
| I want my own DOMAIN! Get your own .COM!!!! For more information and a sign up form, go to Domains |
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| DO NOT complete the following for the Standard $10 listing: |
| Education: List your schooling & licenses: |
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| Hours Available to Appointment: |
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| Rates: Hourly, Additional charges for Outcall, Credit cards accepted |
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Male or Female professional offers therapy to Men and/or Women |
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Massage is available:
Therapist office only
At client's home Check if outcall charges apply
For workplace chair massages Check if outcall charges apply
At client's hotel Check if outcall chgs apply |
| Comments & Questions: |
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