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Wellness Manager's Buyers Guide Submission Form

We would like to invite you to take part in the Wellness Junction Wellness Manager's Buyers Guide by submitting the information form below. This citation will give potential customers a quick look at your services and how to contact you for additional information. And, it will help you expand your reach online -- all for the LOW cost of $9.95 per month. Fill out the form below and you will be contacted shortly with payment information and a request of a more extensive description of your organization's services, your logo or artwork for inclusion, and the direct links you wish to be added to your listing.

Contact Name/Title
(for Wellness Junction contact purposes, not site)
 
Name of
Organization
Address
City
State
ZIPcode
Country
Phone
Fax
E-Mail
Web Site Address
Category To
Be Listied In

Brief description of company/site




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