Member Website Listing Form

Member Website Listing

Below is the Submission Form for your profile page and service listings for the website. Submissions need to be received by the end of the month to be included in the website updates published by the 15th of the following month.

Member Listing Form

* Indicates required field

Name *

First

Last

Please Upload Personal Photo *

Max file size: 20MB

Professional Title *

Email *

Website *

Would you like your email posted? *

Yes No

Socials *

Logo *

Max file size: 20MB

Your Bio, written in THIRD PERSON. *

Is there any other information you would like included? *

Services, Descriptions, and Fees *

For each service listed above, provide the service category for website listing (eg., Therapy - Talk Techniques, Massage - Body Work). Categories include: Divination, Energy Work, Body Work, Nutrition / Plant-based medicine, Senses, and Talk Techniques *

Submit

YOUR CART