Wellness Profile Order Form

Wellness Profiles are offered, for the first time, as part of an advertising package to be featured in the upcoming Annual January 2018 Natural Living Directory issue for Natural Awakenings‘ Broward County, Florida (print & online edition).

In addition, your profile will be listed on our Wellness Profile Page.

(check out the current samples).
To the right is a sample of a Wellness Profile in print. They are approximately the size of a 1/3rd page ad.
Purchase a 1/3rd page ad for this special edition and get a Wellness Profile Package at no additional charge.

The special January package consists of a Wellness Profile and a Community Resource Guide (CRG) ad. If you already have a CRG ad,  you only need complete this form.
We are excited to be able to offer this opportunity to our community.

Wellness Profile Sample

Choose from the following package options:

End Summer special rates/options through September 10:

      Standard rates:
            $475 - Profile & 1 CRG
            $560 - Profile & 2 CRGs
            $645 - Profile & 3 CRGs
     

The following will appear at the beginning of your profile:

* Asterisk denotes a required field.

BUSINESS NAME:
PRACTITIONER/OWNER NAME AND TITLE:
Indicate which you choose to have us place first:
Business Name firstPractitioner/owner Name first
ADDRESS: Insert comma after street address, add City, State & zip
OFFICE PHONE (o):
CELL PHONE (c):
E-MAIL
WEBSITE (Natural Awakenings editorial style uses: cap letter for the beginning of each "word" and lower case for acronyms.)

For the following four items, submit 200 words max.

Description:



Services offered:

List the modalities/specialty services and/or products you offer.

Areas of specialty:

List the types of wellness issues, illnesses, diseases of concentration or areas of expertise that you cover.

Philosophical approach:

Describe your philosophical approach on healing and maximizing human potential.
Additional information:
Include this image with Profile Please use the file I uploaded with the CRG form.I'm not sure, call me about an image.

Contact/Billing info (not to be displayed with profile)

*Your Name:
*Your Phone:
*Your Email:
Name on Card:
Street Address associated with card:
City, State, Zip:
Credit or Debit Card Number:
Expiration (month & year: MMYY)
Security numbers .

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