The Natural Awakenings of East Michigan
Natural Directory Submission Form

Please use this form to submit your Natural Directory Listing for publication in the East Michigan Edition of Natural Awakenings Magazine.

Please submit all listings based on our guidelines. Please review our Natural Directory Guidelines informational page if you for details, prices, etc.

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

Please enter your information below: (Complete all fields). Do not type in ALL CAPS.

Listing placed with existing advertising?
 I have other display advertising that will be running in the magazine at the same time (business card or larger). Use discounted rates.
 I DO NOT have other display advertising running in the magazine (business card or larger). I am only advertising in the Natural Directory. Use standard rates.

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 1  (max 25 characters and spaces):

Address/Contact info - Line 2 (Maximum 40 characters and spaces for each Address/Contact line. Use one or more of these lines for website or email if you wish)

Address/Contact info - Line 3

Address/Contact info - Line 4

Note: If you feel you need extra name or address lines, indicate what information you want in the lines in the next "Extra Lines" section below. We will determine the best approach for formatting to try and consolidate lines and contact you with recommendations.

Address/Contact info - Extra lines (additional fee of $7 per month for each line over the 4 lines directly above)

Enter the descriptive text for your listing: Base price includes 30 words. ($1 for each add'l word over 30).
0
Total number of words you entered above: 
Your number of extra words over the basic 30:  ($1 each per month):

Select your applicable length and monthly rate:
-This listing is to be placed with existing 6 or 12 month display advertising (1/8 pg. or larger):  $  per month

- 6 months without any other advertising (minimum 6 months)*: $  per month

- 12 months without any other advertising: $  per month

- Please contact me with pricing for running a listing for longer than 12 months, or to run multiple listings.

Will you be uploading a photo or a logo to use with the listing?
 Photo
 Logo

Once this form is submitted, you may use the "Upload Image" utility before the "Submit" button below to upload a graphics file to us. Or, if you prefer, you may email the image to us separately.

Name of the image file you are uploading (if emailing the image, enter "emailing")

Enter your contact information below if different from that entered above

Your Name:
Business Name:
Street Address:  
City/State:      Zip Code

Telephone Number: 

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

Misc. Comments/Notes:

*One month listings are occasionally available in a month when we might have a special departmental/themed section. Pricing for listings less than 6 months are at the Open Rate of $189/month.

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.

Click the Submit button below.

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