Addiction Resource Guide

Link Purchase Order Form

LINK PURCHASE - FROM OUR SITE TO YOUR SITE

Someone finds your listing profile in Addiction Resource Guide's directory for a reason! Bring those targeted visitors to your own website - give them you personal presentation.

Directions: Print out the following order form. If you have questions, please email, Polly Waldman at pbwaldman@aol.com. Mail the completed form along with a check made out to ADDICTION RESOURCE GUIDE to: Addiction Resource Guide, P.O. Box 8612, Tarrytown, NY 10591, Attn: Polly Waldman.

Facility Name ___________________________________________________

Contact Person _______________________________Title ____________________________

Phone # _____________________________Fax # _______________________________

Email address __________________________________________

Website URL ____________________________________________

Slogan (50 characters, including spaces)

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Enclosed is a check payable to Addiction Resource Guide for: