~ June, 2021

Upon completion of this form we will email you your 2021 Natural Awakenings Directory PROOF for your review and approval within one business day.

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*Asterisk denotes required field.

Pricing is per county.

Broward County EditionPalm Beach Edition
Choose an N.A. Directory option.

Premium Listing Image
Upload your logo or photo. NOTE: The system can only accept the following types of graphic files: png, jpg, gif, and pdf. Keep the file sizes less than 2 megabytes (MB). Image files should be high resolution, at least 150 to 300 dots per inch (dpi). Images used on websites are typically not usable, as they are only 72 dpi.

*CATEGORY (Subject to approval by our corporate office.)

*ITEM - Business or Professional Name ---
This is the first of eight items you may choose from. FOUR ITEMS are included with your basic CRG listing. Additional ITEMs are $5 each.

ITEM - Contact Name (or additional contact name)
This is the second ITEM you may select for your CRG ad. You may include top two professional degrees earned.

ITEM - Address
Kindly use a comma after the street address, add the City, State, and zip.

ITEM - Phone
Use dashes. Example: 954-630-1610.

ITEM - Additional Phone
Use dashes. Example: 954-630-1610.

ITEM - Fax
REMEMBER, each item you fill in over four is billed at $5 each (this is the sixth item from which to choose).

ITEM - e-mail

ITEM - Web

Directory Description:
Use this section to describe your business services and products. The June N.A. Directory includes up to 30 words. Any words over 30 are billed at $1 each. There is a MAXIMUM of 50 words. If you purchased a display ad for the month of our Annual Issue, it will be referenced by page number at the end of your description at no additional charge.
Would you like assistance in reducing your description to 30 words?
Yes, thanks.No thanks.

The following is for BILLING & CONTACT PURPOSES:
*Full Name

*Contact Phone
*Billing Street Address

*Billing - City, State, Zip

Complete payment information here, or expect a follow-up call from the office, for that information, once we process this form. We will charge your card when we've gotten your approval on the ad you are placing with us.
For security purposes, we'll connect via phone for your credit card information.


NOTE:BELOW the green submit box that follows, your confirmation note should appear. If you only see a thin green line (below this copy) hover over it. "Click Here to Submit form" should appear - That's where you'll need to click to send us your ad information. Call our office, 954-630-1610, when you want additional assistance. Thank you.