MassageMe - Online Registration

Massage School
Directory Listing Form
Required Fields are indicated by *

About Your School

School Name:
*

School Accreditation:*
Accredited & State Licensed     Type:
State Licensed
Approved Seminars

Year Founded:
*

Address:
*

City	State	Zip Code
		*

Country:
*

	Area Code	Phone Number
School Phone:		*

School E-Mail:
(Please don't list URL)
*

Leads from MassageMe.com

will be sent to this address!

Confirm School E-Mail:
*

School URL:

For example:

www.myschool.com

School's Specialties:
For multiple selections, hold down the Control key (Windows) or Command key (Mac) while clicking on each category. Maximum of 5 entries.

Description:
URL's and E-Mail addresses are not permitted in the description

School Login Account Information

Use this information to access and edit your directory profile, add courses, upload your logo, and access e-mail and chat rooms. Your Login ID can be up to 10 characters. Characters not allowed are: spaces, /, \, - The person listed below is authorized to edit school listing/directory information.
Authorized Contact Person
Contact Person's First Name: *
Contact Person's Last Name: *
Contact Person's Current E-Mail:
If same as School E-Mail, click box to automatically fill the fields below
*	Account activation and MassageMe administrative information will be sent to this email address!
Confirm E-Mail: *
School Login ID: *
School Password: *
Confirm School Password: *
If you forget the School Password, answer the following question to automatically retrive it.
Password question: *
Password answer: *

Select Membership Plan

	Basic - $95.00 every 1 Months! Directory Listing Website URL Listing My Home Edit Contact & Password
	Gold - $165.00 every 1 Months! Directory Listing Website URL Listing Lead Generator My Home Edit Contact & Password
	Platinum - $285.00 every 1 Months! Directory Listing Website URL Listing Lead Generator Course, Class & Seminar Listing Post Jobs Chat Room Bulletin Board My Home Edit Contact & Password