Annual Hosting Fee - Practitioner or Business Page

This page is only for taking care of the annual renewal fee for your directory page on The Austin Alchemist.

This form requires billing information as well as some basic info about your business, so we can match your payment to your listing.

However, this page does not replace the regular ordering page. If you find yourself here and have not yet submitted an order for a directory page – stop! Contact me so we can get you to the right form and save us both some headaches. :)

Directory Listing Annual Fee

Company or Practice Name (one per page listing)*
Please enter your company or practice name as listed on our site.
Your Name*
First Last
Your Email*
Phone*
Website
Address*
Street Address Address Line 2 City State ZIP Code
Notes for Julia
This is an optional space for you to include extra information that I might need for your order.
Annual Hosting Fee - Practitioner / Business Page*
Price: $10.00
The Practitioner and Business Pages are $39 for the first year and then $10 each year thereafter. The total below reflects the $10 annual hosting fee only.
Total
$0.00

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