Therapy directory Registration Form


Please note that SECTION1 below is entirely free of charge but only your name, town and specialist therapy will be listed in the directory.


If you wish to have your contact details, qualifications and various additional information listed then please fill out the appropriate sections of this page and you will be taken to PayPal out credit/debit card payment gateway.

Alternatively, you can simply fill this form in, print it out and post it with a cheque made out to
Therapy Directory to
Therapy Directory
PO Box 7419
Annan
DG12 5WX.

For a detailed decsriprion of our other options and pricing, please Click Here

SECTION1 - FREE Registration
Last name First name
Address Title
 
Town Region County Region

County
Post Code Country United Kingdom
What is your main Therapy?
 
 
 
SECTION2 - Contact information £10 Annual Registration Fee
 
Practice name Website
Phone Mobile
FAX Email
 
 
 
SECTION3 - Full information £15 Annual Registration Fee
 
Qualifications
Governing Bodies / Associations
Practice Details
Conditions Treated
Other Information
 
SECTION4 - Additional Therapy Headings - £2 per additional heading Annual Registration Fee
 
Please choose ....





If you practice more than 1 therapy the same information registered under options 1, 2 or 3 can be replicated under additional headings. E.g. if you are an Aroma Therapist who also practices Yoga and Indian Head Massage you can be registered under the additional headings for only £2 per extra heading.

To choose up to five additional therapies, use the lists opposite.
 

www.therapydirectory.co.uk hosted by www.dedicatedtoservers.co.uk © 2004
This site is part funded by Scottish Enterprise