Promotional Copies - Practitioners Offices

Promotional Copies for Practitioners Offices

For current health, counseling and clergy practitioner who are already subscribers to Spirituality & Health: sign up to receive additional waiting room copies on a regular basis at only $12.00 per year including postage. 12 months commitment (6 issues) required. To apply, print and fill out the form below, then mail it to the address at the bottom:

To apply, fill out the form below:

Your Name _____________________________________
Your e-mail address _____________________________________
Phone # _____________________________________
Organization Name _____________________________________
Organization Street address _____________________________________
City/State/Zip _____________________________________
Last name and zip code of subscriber _____________________________________

Number of waiting room subscriptions: _________
Total due at $6.00 per subscription per year: $_______________________

Payment options:

Option 1: Credit Card
Card Type: Visa ___ MC ___ Discovery ___
Number _________________
Name on Card _________________ Exp Date _____________

Option 2: Check enclosed $ _____________________________________

Print this form and mail with check or credit card information to:
Spirituality & Health
129 1/2 East Front Street
Traverse City, MI 49684
Tel: 231-933-5660
Fax: 231-933-3899

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