The Natural Awakenings of East Michigan
Natural Directory Submission Form


Please use this form to submit your Natural Directory Listing for publication in either the Greater Oakland, Macomb, Livingston and St. Clair; or the Greater Genesee and Lapeer Edition of Natural Awakenings Magazine - or both at the same time.

Please submit all listings based on our guidelines (Click the "Directory Options" link on the left menu if you have not reviewed those guidelines.

See the magazine for examples of how to group items such as address and city, or name and phone number, together to maximize on space. Questions? Call us at: 248-628-0125 or use the "Email Us" link above to drop us a line.

Please enter your information below: (Complete all fields).
Please do not type in ALL CAPS. Turn your CAPS LOCK off.

What type of listing are you running?
Basic (2 name/address lines & 15 word description)
Premium (4 name/address lines & 25 word description)
Premium w/Photo (4 name/address lines, 30 word description & color photo or logo)

Length to run 6 months 12 months

Into what Category/Department would you like to place the listing? (Max 24 letters/spaces for new requests)


Is this an existing or new department? Existing New

Business Name Line (max 26 characters and spaces)


Address/Contact Line 1 (Maximum 30 characters and spaces for Address/Contact lines)


Address/Contact Line 2 (Premium listing only)


Address/Contact Line 3 (Premium listing only)


Descriptive text for your listing (25 words max for Premium listing, 30 words for Premium w/Photo and 15 words max for Basic listing, $1 each add'l word (web addresses and emails will count as the number of whole words used to make up the address/URL)


Magazine(s) in which to run this listing
Greater Oakland, Macomb and Livingston
Greater Genesee and Lapeer
Both

Will you be uploading a photo or logo? (Premium w/photo listing only) Upon completion of this form you will be given the opportunity to upload a graphics file to us
Yes No

Monthly Total (from rate sheet)

Enter your contact information below if different from that entered above

Your Name

Business Name

Street Address

City Zip Code

Telephone Number

E-mail Address (in case we need to reach you)

Misc. Comments/Notes


Due to content considerations, we reserve the right to edit, accept or refuse all submissions.


Upon receipt and verification of your submission, we will email you back a layout proof and an agreement to complete and fax back to us for billing purposes.

DO NOT EMAIL YOUR CREDIT CARD INFORMATION with this submission.


For security purposes, enter the dark/bold text from the image below into the box next to it, then press the "Submit" button below to submit your listing.

Your confirmation page will give you the option to upload a graphic. Use this if you have chosen that option.

Thank you very much for being a part of the Natural Awakenings of East Michigan Natural Directory!



  


Form not submitting? Check for errors above, correct and press the submit button again.

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