Practitioner or Business Page – Resubmit • The Austin Alchemist

This is a resubmission form for payment.

We use this when you’ve already submitted your directory listing to us, but for some reason your browser did not redirect you to the payment page. This form requires billing information as well as some basic info about your business, so we can match your payment to your order.

However, this page does not replace the 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 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

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