SUBMISSIONS TO DIRECTORY

Metaphysical Mississippi
Submissions to Directory of Services
Click here for list of categories.
List under as many categories as you would like for
a one-time fee of just $10 per category.

* Indicates required field

Name of Business or Organization or Person *

Practitioner or Contact Name (if different from above) *

First

Last

Category of Service *

Description of Services (25-Word Limit) *

Website or Facebook or Other *

Email *

Phone Number 1 *

Phone Number 2 *

Street Address *

City *

State *

Zip *

Mailing Address (if different) *

City *

State *

Zip *

Submit

PLEASE NOTE: DO NOT SUBMIT THIS PAYMENT UNTIL AFTER YOU HAVE COMPLETED STEP ONE BY SUBMITTING YOUR FORM ABOVE.