Wellness Directory Submission Form
The Complete Resource for Yoga, Health & Spirituality
in Kamloops & B.C. Interior
Name of salesperson or person who referred you:
Your answer
Is this your first listing?
Business Name (if Applicable) :
Your answer
Your Name:
Your answer
Email:
Your answer
Website:
Your answer
Phone:
Your answer
Mailing Address:
please include your postal code
Your answer
Which Category would you like to be listed under ?
please select 1
New Category:
Your answer
Your Wellness Directory listing (Maximum 20 words business/contact info)
preferred format (20 words spread over 4 lines)
**up to 5 words per line** please include your city
example
your 20 words business/contact info spread over 4 lines
Your answer
Upload your headshot photo or logo into our dropbox (upload only image and pdf files)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms