You can post your treatment
center here. Please state if there is a fee and how much the client
must pay per month as well as the length of stay. Regular
listings without banner are free. Add a banner
to our front page for only $250.00 a year
*
are required fields
*
Treatment Center Name:
*
Posters First / Last Name:
*
Treatment Center Address:
*
Treatment Center City:
*
Treatment Center Province/State
*
Treatment Center Country:
*
Treatment Center Phone Number:
*
Posters Email Address:
Add
a banner $250.00 a year
Yes
No (we will contact you when we receive this form)
Additional Information:
Required if
ordering a banner ad
Payment Method:
Credit Card Money Order Check (check clearance period of 7 business days)
