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resource guide submission form
Please complete all required fields below and digitally sign where indicated. Note: A Community Resource Guide listing is included with all display advertisements (credit card information is not required).
contact information (*not for publication)
full name/business name
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street address, city, state, zip
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e-mail address
*
phone numbers
*
listing details
Please Check Appropriate Box
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12 month agreement $75/mth
6 month agreement $85/mth
yoga issue only $75
yoga issue w/profile $50
this is included in my advertising package (credit card not required)
Type of Listing
*
New Listing
Existing Advertiser
listing copy
Category 1:
This is the HEADING under which your listing will appear.
Acupuncture
Addiction
Allergies
Anti-Aging
Art & Music
Artists
Astrology
Ayurvedic Treatments
Beauty
Bed/Bedding
Birth Center
Body Scanning
Bodytalk
Books
Breast Screening
Channeling
Chelation
Chemical-Free Living
Chinese Medicine
Chiropractor
Classes
Coaching
Colon Therapy
Cranio-Sacral
Dance Instruction
Detoxification
Dining
Edible Gardens
Education
Energy Healing
Environmental Architecture
Esoteric Healing
Facelift Massage
Facials
Family Counseling
Farmers' Markets
Feng Shui
Hair Salon
Halotherapy
Hearing (Tinnitus)
Herbal Counseling
Holistic Educator
Holistic Center
Holistic Veterinary Services
Home Construction
Home Services
Hormone Therapy
Hypnotherapy
Instruction
Integrated Medicine
Kinesiology
Lawn Care
Legal
Massage
Meditation
Naturopath
Natural Health
Nutritional Counseling
Nutritional Supplements
Organic Food
Organic Garden Consultants
Organic Garden Supplies
Oriental Medicine
Orthotics
Pain Management
Prescription Compounding
Personal Training
Pest Control
Pet Supplies
Physical Therapy
Psychic
Psychotherapy
Qi Gong
Realtor
Reflexology
Rehabilitation
Reiki
Respiratory Health
Rolfing
Schools
Skin Care
Spas
Spiritual Gifts
Spirituality
Sprouts
Sustainability
Tai Chi
Training
Water
Weight Management
Women's Health
Yoga
Category 2 (additional $25):
This is the ADDITIONAL heading under which your listing will appear.
Acupuncture
Addiction
Allergies
Anti-Aging
Art & Music
Artists
Astrology
Ayurvedic Treatments
Beauty
Bed/Bedding
Birth Center
Body Scanning
Bodytalk
Books
Breast Screening
Channeling
Chelation
Chemical-Free Living
Chinese Medicine
Chiropractor
Classes
Coaching
Colon Therapy
Cranio-Sacral
Dance Instruction
Detoxification
Dining
Edible Gardens
Education
Energy Healing
Environmental Architecture
Esoteric Healing
Facelift Massage
Facials
Family Counseling
Farmers' Markets
Feng Shui
Hair Salon
Halotherapy
Hearing (Tinnitus)
Herbal Counseling
Holistic Educator
Holistic Center
Holistic Veterinary Services
Home Construction
Home Services
Hormone Therapy
Hypnotherapy
Instruction
Integrated Medicine
Kinesiology
Lawn Care
Legal
Massage
Meditation
Naturopath
Natural Health
Nutritional Counseling
Nutritional Supplements
Organic Food
Organic Garden Consultants
Organic Garden Supplies
Oriental Medicine
Orthotics
Pain Management
Prescription Compounding
Personal Training
Pest Control
Pet Supplies
Physical Therapy
Psychic
Psychotherapy
Qi Gong
Realtor
Reflexology
Rehabilitation
Reiki
Respiratory Health
Rolfing
Schools
Skin Care
Spas
Spiritual Gifts
Spirituality
Sprouts
Sustainability
Tai Chi
Training
Water
Weight Management
Women's Health
Yoga
Category 3 (additional $25):
This is the ADDITIONAL heading under which your listing will appear.
Acupuncture
Addiction
Allergies
Anti-Aging
Art & Music
Artists
Astrology
Ayurvedic Treatments
Beauty
Bed/Bedding
Birth Center
Body Scanning
Bodytalk
Books
Breast Screening
Channeling
Chelation
Chemical-Free Living
Chinese Medicine
Chiropractor
Classes
Coaching
Colon Therapy
Cranio-Sacral
Dance Instruction
Detoxification
Dining
Edible Gardens
Education
Energy Healing
Environmental Architecture
Esoteric Healing
Facelift Massage
Facials
Family Counseling
Farmers' Markets
Feng Shui
Hair Salon
Halotherapy
Hearing (Tinnitus)
Herbal Counseling
Holistic Educator
Holistic Center
Holistic Veterinary Services
Home Construction
Home Services
Hormone Therapy
Hypnotherapy
Instruction
Integrated Medicine
Kinesiology
Lawn Care
Legal
Massage
Meditation
Naturopath
Natural Health
Nutritional Counseling
Nutritional Supplements
Organic Food
Organic Garden Consultants
Organic Garden Supplies
Oriental Medicine
Orthotics
Pain Management
Prescription Compounding
Personal Training
Pest Control
Pet Supplies
Physical Therapy
Psychic
Psychotherapy
Qi Gong
Realtor
Reflexology
Rehabilitation
Reiki
Respiratory Health
Rolfing
Schools
Skin Care
Spas
Spiritual Gifts
Spirituality
Sprouts
Sustainability
Tai Chi
Training
Water
Weight Management
Women's Health
Yoga
Can't find a suitable category? Make a request!
Item 1: BUSINESS NAME
THIS LINE WILL APPEAR IN BOLD
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0/36 characters
Contact Line 1:
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0/36 characters
Contact Line 2:
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Contact Line 3:
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additional contact line (add $5):
0/40 characters
Description:
Up to 35 words included. Additional copy, $1 per word. No exclamation marks or symbols. No ALL CAPS, please. Only proper names should be capitalized.
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0/50 words
I need help. Please edit my description to 35 words.
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I would like more information about display advertising/marketing opportunities.
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No
I am a current advertiser (6-12 month program) purchasing extra listings.
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No
upload your photo or logo here
Please upload a logo or image attachment with your submission.
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payment information
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Credit Card Number
Expiration Date (mm/yy)
Security Code
Zip Code
Your signature is acknowledgment of understanding that you will be charged for advertising. You also understand that a refund is not available. By digitally signing, you confirm that 13 Moons Publications, LLC, dba Natural Awakenings - Greater Las Vegas has permission to charge this card. *
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