See CounselingSeattle.com status report page.

Advertising Your Therapy Group
For each group, print out this page, fill it out, sign it and mail it with your check
 to: Floyd Else, Webmaster (425) 643-7434
CounselingSeattle.com, PO Box 6714, Bellevue, WA 98008-0714

Name of the group: ___________________________________________________

Who should participate: ________________________________________________

_____________________________________________________________________

What client problems will be addressed by this group? _________________________

______________________________________________________________________

Location: ______________________________________________________________

Starting date: ___________________  (unless the group already exists and is ongoing.)

Frequency of group meetings?:  weekly,  every other week, or specific dates

_______________________________________________________________________

Costs for participating in the group: $ ____________________ 

Is there a screening fee?   YES    NO  (circle one)      Amount $ __________

Contact person: ____________________________     (______)____________
                                 Name, professional initials              area code, telephone number

2nd (if any)
Contact person: ____________________________     (______)____________
                                 Name, professional initials              area code, telephone number

Name of presenter or group leader: ______________________________________

Qualifications or licensure: _____________________________________________

Your email address: ________________________________ (for communicating about the ad.  It will not be included in the ad unless you specifically request it (not recommended).    

Signature: ________________________________        Date: ________________

Fee Computation

The basic cost is $60.00 [for an ad of up to 15 lines of 14 point font] and displays for three months.  If the group is ongoing and continuous, add $6.00 for each additional month [or a special annual rate of $110.00 per year per group--a less expensive rate than than offered by any competing media.]

Basic ad cost (include listing for up to 3 months)..   $ 60.00
Plus _____ months at $6.00 per month..............     _____

                                                        Total cost     $ ______

Please complete the application, enclose your check--payable to Floyd Else--and mail to:

Floyd Else, Webmaster
CounselingSeattle.com
PO Box 6714
Bellevue, WA 98008-0714

[Please mark your check in the lower left hand corner: "for a therapy group advertisement."  Your cancelled check will serve as your receipt for accounting and tax purposes.]

You will receive an acknowledgement by email within three working days of receipt of the documents.

NOTICE: Rates are subject to change without notice.  Current rates will be published on this page.