This is not the regular order form page for directory ads. This is our payment recovery page for when a new order is submitted, but payment for some reason failed. We don’t need you to fill out the big form again, but we do need you to fill out this form and follow the submission to PayPal. Let us know if you have any issues.

Reminder: The cost for a directory listing with The Austin Alchemist is $39 the first year to build and host your listing, and then $10/year annual hosting and membership fee after that. Billing is set up as a $10 annual subscription, plus an additional $29 for the first year = $39 for the first year, $10 each year after.

See our advertising guidelines here.

Directory Listing Subscription

Company or Practice Name (one per page listing)*

Please enter your company or practice name as you would like it to be listed on our site.
Your Name*
First Last
Your Email*
Enter Email Confirm 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.
Practitioner and Business Page Submission Fee*
The Practitioner and Business Pages are $39 for the first year and then $10 each year thereafter. The total below reflects this pricing for the first year.
Price:
Annual Hosting Fee - Practitioner / Business Page*
Price:
First Year Total
$0.00

Save and Continue Later

After you submit your ad a PayPal button will come up, please follow the link to make payment. Thank you!

Please remember that each listing requires time to program and put together. In general I need a couple of weeks turn around time to build a new directory listing from scratch. Sometimes I can accomplish this sooner. Submissions received on holidays or over the weekend will generally be reviewed on the following business day.

Directory Listings – Payment Submission Form

Directory Listing Subscription

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