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Please print, complete (in legible black ink printing), & sign this Massage Therapist Advertising Page application, scan your completed application, and then email your application to the Certified Massage Therapists International Society by email attachment to: massagedirectory@yahoo.com, & make your payment.

Full name:_________________________________________________________________

Business address: _______________________________________________________

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Mailing address:_______________________________________________________________

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City:__________________________  State: ______________  Postal Code: ________

Country:__________________  Daytime phone: (________ )_____________________

Email address:_______________________________________________________________


Please include the following information on my Massage Therapist Advertising Page:

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Please email your desired photographs (e.g., of yourself, office, etc.), map and directions, and anything else you want included in your Advertising Page to massagedirectory@yahoo.com

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                   My Signature                                                                              Date