Healthy & Green Living Directory Reservation Form
This agreement form is for existing advertisers and one-month annual directory advertisers only. If you are signing on for a new multi-month contract, please request our regular ad agreement form.

Please complete this form in it's entirety to reserve your space in the annual directory. THIS IS JUST A RESERVATION FORM. The content of your listings will be submitted on our website and we will contact you about the details of your ad and/or business profile.

Do not hesitate to contact us with any questions you have. We are happy to help! Call 251-990-9552 or email publisher@healthylivinghealthyplanet.com.
  • Contact Information

    This info will be used by Natural Awakenings staff to contact you. We will NOT use this information in your listing or ad. Please provide best contact information for us to reach you should we have questions concerning your listing and/or ad.
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  • DIRECTORY AD PACKAGES

    Complete this section if you wish to purchase an ad package in our directory issue. A display ad, business profile and 3 directory listings are included in the price.
  • All rates are for color ads.
  • $ .
    Cost of your package, determined by your ad size.
  • DIRECTORY LISTINGS

    This section is to reserve your listing spots in the annual directory of the February issue. If you are purchasing an ad package, DO NOT fill out this section (only fill out the Ad Package section above).

    Pricing:
    1 listing for $99 or 3 for $149

    Early Bird Special:
    Get a bonus listing for free when you reserve by November 20th!
  • $ .
    Total for all of your listings. See pricing above.
  • BUSINESS PROFILES

    This section is to reserve your business profile spot in the annual directory of the February issue. If you are purchasing an ad package, DO NOT fill out this section (only fill out the Ad Package section above).

    Please select the option that applies to you:
  • $ .
    Cost of your profile. See pricing above.
  • $ .
    Package Advertisers: Enter the cost of your ad package.
    Other Advertisers: Add up the totals for the directory listing and profile sections to determine the amount due.
  • I certifiy that I am an authorized representative of the company shown, I agree to the terms and conditions specified on this contract, and I understand the deadlines and payment policies.

    Payment can be made by PayPal, calling in a credit/debit card or mailing a check. Payment must be received by January 10, 2019 to guarantee the placement of my listing and/or ad in the annual directory issue. Payment must be received by December 1, 2018 to receive Early Bird offers.

    (Once this form is submitted, Natural Awakenings will contact you to make sure you understand what needs to be submitted for your listings, ad and/or profile.)
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