MEMBER REGISTRATION FORM

Please fill out the form below and your information will be added to our directory. Be sure to select your category.

NOTE: Only fill in the fields related to your level of membership. Please read the following information carefully. If you input data outside the scope of your membership it will be removed.

 

AND: Only submit once. Submitting more than one time creates duplicate listings. You cannot edit your entry once submitted. If you need to change something send your revision to HHCInterPBC@gmail.com.

Charter and Premium members fill in ALL fields relevant to your business and upload a headshot or logo if you wish (If you leave this space blank we will input the HHC tree icon. Note: The image space is a square so if your image is a different shape it may not display correctly).

 

Basic members fill in ONLY the following fields:

  • Name

  • Email address

  • Phone number

  • Specialty

  • Designation

  • Category

Basic members do NOT fill in:

  • Web address

  • Social media 

  • Bio

Want to keep your Basic membership and expand your directory listing to include all fields? Ask for a simple $60/year upgrade on your listing.

Contact Michele@HolisticHealthConnections.net.

PREMIUM ONLY: Upload Headshot
Max File Size 15MB
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Only submit once.

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