Step 1: Choose a Subscription Level
Coach PLUS Listing
- $ 60.00
US/ 1 Year
Stand out from the crowd! Complete listing includes your name and credentials with contact information, web site url, a description of your services, associations and memberships, and other details about your practice, PLUS your photograph or logo.
Coach Basic Listing
- $ 36.00
US/ 1 Year
Listing includes your name and credentials with contact information. |
Step 2:
Standard Listing Information and billing Information
Billing
Info:
To complete your request for a Coaches Listing, please complete your payment information below. ADD Consults accepts payment by MasterCard, Visa, Discover, or American Express. If you wish to make arrangements to pay by check, please contact
Terry.
All information will remain confidential. For more information, please see our Privacy
Policy.
Your card will be billed for the Coaches Listing fee in the amount listed in your selection above in US funds. Once your credit card has been approved, you'll receive an e-mail notification.
Please note: all fields MUST be filled out, except where noted Optional. Also note, that the following contact information will be released to clients via e-mail when they hire you as a coach.
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| First Name:
Last Name:
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Title/Credentials:
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E-Mail Address:
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Phone:
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Fax (Optional):
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Address:
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City:
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State:
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Country:
USA |
Zip/Postal:
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International
Professionals:
If your office is outside
the United States, please check the box to the right. |
Outside of the United States |
Important:In an effort to reduce credit card fraud and to protect the security of your account, the address entered above must match the address on your credit card billing statement. If your address does not match exactly, your card will be declined. |
How did you hear about ADD Consults?
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Step 3:
Coach PLUS Listing Information
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| Web Site URL (Optional): |
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| Types Of Clients Served: |
Check all that apply
Adults
Children
Teens
College Students
Business owners/Executives
Professionals
Entrepreneurs
Artists
Other:
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| What is your personal philosophy about ADD coaching? |
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| Languages Spoken: |
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| Fee Range: |
Fee: $
(please briefly describe your fee structure)
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| Coaching Format: |
Check all that apply
Phone
In Person
Email
Chatroom
Other:
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| Educational Background: |
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Professional Background:
(Include any coach training) |
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| Work Experience: |
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| Professional Associations: |
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| Personal Characteristics: |
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Favorite Coaching Tip:
(Your
tip along with other coaches tips will randomly be profiled
on our home page)
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| Share a Personal Quote: |
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Additional Information You'd Like To Share:
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Upload your image:
We only accept JPEG,
JPG, JPE, GIF and PNG
image files
If you need help, email Terry at coaching@addconsults.com
Once you have selected your photo, it will automatically be uploaded to our server.
This could take 20 seconds to a few minutes, depending on the size of your photo and your connection speed.
If
your photo does not appear or you're using Netscape
7
CLICK
HERE to review your Photo
Once the photo has been received, this page will reload with it so you can review the photo. You can then change it or click the Continue Order button. |
| Please proofread your information carefully, then proceed to our secure server to submit your payment. Once your listing has been approved, it will be visible in the ADHD Worldwide Coach Directory immediately.
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Rules of the Road
Information and guidelines
Please read carefully and keep a copy for your records.
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Coaches listing their practices in the directory must use professional and ethical behavior or their listing can be terminated at the discretion of ADD Consults. Listing information can be edited or deleted if deemed inappropriate.
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By listing your practice in the directory, the coach agrees not to hold ADD Consults liable for any problems that may arise from the client/coach relationship. This includes difficulties in schedules, payment, etc.
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The directory is only a service offered to visitors of ADD Consults. The listed coaches are not personally endorsed by ADD Consults; they have paid to have their listings on this site. ADD Consults does not verify information coaches provide in our directory. To read about our privacy policy, please read our Privacy page.
Netscape 7 users must select remember my field data if asked or your order will not be processed
DO NOT PRESS YOUR BROWSERS BACK BUTTON UNLESS ASKED TO.
DOING SO MAY CAUSE A SECOND DEBIT TO YOU CREDIT CARD.
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