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Manager; Diana McManus
512-288-2789
DmcmanusPR@aol.com
Copyright 1998 Past Life Therapy .Org. R-98
Created and Maintained by Web Creations, Graphic Artist, Faeghan B. White Wolf
Updated by: D.I.Oughton
"Firedragoncat"
Welcome to the PLT.ORG Membership Form
Join PLT.ORG!

If you are interested in listing your business with the referral service, there is a $60.00 per year ($5.00 per month) membership fee required. This is utilized to pay for the various costs associated with maintenance of the organization. It is payable in the form of a money order sent to the address which I will provide to you upon receipt of this completed form or you may pay with a credit card through paypal. The paypal icon at the bottom of the page will take you to my account.

Please include the following information about yourself and your business.

If you would like to have your own website created, please contact my web developer. He works cheap :-), $30.00 per page with free housing on his server!

First Name M.I.
Last Name
Country
Location #1:
Practice Name
Street Address
City
State/Province
Zip/Postal Code -
Location #2:
Practice Name
Street Address
City
State/Province
Zip/Postal Code -
*Telephone:
Daytime - -
Evening - -
Fax - -
Email Address
Website #1
Website #2
Other information about your skills and practice:

Announcements:


How did you find us:

If you linked from another site, please tell us the name of the site.

Make payments with PayPal - it's fast, free and secure!