Healthy Living Profile Submission Form

With a photo and 250 words we’ll capture the essence of your business so readers can learn who you are and what you have to offer. Contact information at the top will make it easy for our readers to find you and the ad reference at the end will ensure they don’t miss your ad. Not a writer? No problem. Just answer the short questionnaire and we’ll take care of the writing. You’ll have a chance to edit and approve anything we write. Keep in mind the 250 word limit when filling out the form so editors will have a better idea of what information you believe is most important for our readers. Please note: This form may time-out so please plan to complete your submission in one sitting.

Please include a high resolution (minimum 300dpi) photo or logo with your submission by attaching a file at the bottom of this form above the security captcha code. You must complete the captcha code for this form to process properly. 

To view samples CLICK HERE.

Fields marked with an asterisk* are required.

Profile Pricing: * Non-advertiser - $299
Current advertiser - $269
Full Name: *
Company Name: *
Phone number (For writer to contact you): *
E-mail Address (For writer to contact you): *
Phone number (For readers to contact you): *
E-mail Address (For readers to contact you): 
Company Address: *
Website URL: *
When and where was your business founded?: *
What is your educational background?: *
(List degrees and any other special training/certifications) 
Please define your medical/dental practice, wellness/healing center or healthy living/green business: *
(Include as many facts and info as you'd like such as specialties, modalities offered, unique features, etc.)
Wellness/Healthy Living/Green services offered: *
Areas of specialty:*
Philosophy of healing/healthy/green living:*
Other information: (250 word maximum)   
To secure your space send payment to: via PayPal or call 617-906-0232 for other payment arrangements.

You may upload an attachment with your submission. We accept the following file types: