Upload Content: Therapy Services & Disability Resource Guide for West MI Families

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- Skipping around will cause the form to malfunction.
- Package specs are at the end of the page
Your Name
This is for internal purposes and will not be published.
First Last
Your Email
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Your Phone Number
This is for internal purposes and will not be published.
Which Listing Level did you reserve?*
- Title – $520
- Platinum – $420
- Premium – $305
- Standard – $190
- Admin
Business Name*
This will be published.
Business Phone Number
This will be published.
Business Email
This will be published.
Website
Be sure to include the https:// part of the URL when you type it in or it won’t properly link to your website.
Facebook Page
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Instagram
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General Location*
Business Address
Street Address City State / Province / Region ZIP / Postal Code
Business Address #2
Street Address City State / Province / Region ZIP / Postal Code
Business Address #3
Street Address City State / Province / Region ZIP / Postal Code
Tell Us About Your Business
Services Offered
Select all that apply
Disability Served
Select all that apply
Resource Type
Select all that apply
Ages Served*
Select all that apply
Description (Standard)
Describe your offering in 50 words or less.
Description (Premium)
Describe your offering in 75 words or less.
Description (Platinum)
Describe your offering in 100 words or less.
Description (Title)
Describe your offering in 150 words or less.
Testimonial (Title and Platinum)
Add up to 30 words of text
Upload Image Here
NOTE
- If you are unable to upload your image, the file is likely too large.
- Use an online compressor (such as https://compressor.io/) to compress your image file and resubmit.
- If you are still unable to upload your file, please leave a note at the bottom of this form and we’ll reach out to you via email to obtain your image.
STANDARD SPONSOR Photo Upload
Upload image – 800×200 pixels (file size under 200KB)
Accepted file types: jpg, png, Max. file size: 1 MB.
PREMIUM SPONSOR Photo Upload
Upload image – 800×300 pixels (file size under 200KB)
Accepted file types: jpg, png, Max. file size: 1 MB.
PLATINUM SPONSOR Photo Upload
Upload image – 800×400 pixels (file size under 200KB)
Accepted file types: jpg, png, Max. file size: 1 MB.
TITLE SPONSOR Photo Upload
Upload image – 800×500 pixels (file size under 200KB)
Accepted file types: jpg, png, Max. file size: 1 MB.
Would you like your listing to be included in the Autism Services Guide and/or ADHD Services Guide (free of charge)?*
Select your guide(s) below
Autism Services Guide*
Please provide a brief description of your Autism services (up to 30 words)
ADHD Services Guide*
Please provide a brief description of your ADHD services (up to 30 words)
Add-on Services
Did you purchase an add-on Testimonial?*
- No
- Yes
Add-on Testimonial
Include up to 30 words of text
Anything else we should know?
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Toggle open your package to see specs for your listing.

Title Sponsor

Prime ONLINE ad placement at the top of the guide
800×500 graphic linked to your website OR embed approx. 1 min. video
Links to your website and 2 social media pages (Facebook, Instagram, Twitter, etc.)
Business address (may include up to 3) and phone number
150 words of text to describe your business
Optional client testimonial (up to 30 words)
One #partnernews ad in our Nightly Newsletter (GRKIDS creates based on listing content)

Platinum

Platinum Listings will be shown after the Title Sponsor, in order of booking date
800×400 graphic linked to your website
Links to your website and 1 social media page (Facebook, Instagram, Twitter, etc.)
Business address (may include up to 2) and phone number
100 words of text to describe your business
Optional client testimonial (up to 30 words)
One #partnernews ad in our Nightly Newsletter (GRKIDS creates based on listing content)

Premium

Premium listings shown below Platinum ads, in order of booking date.
800×300 graphic linked to your website
Links to your website and 1 social media page (Facebook, Instagram, Twitter, etc.)
Business address (may include up to 2) and phone number
75 words of text to describe your business

Standard

Standard Listings shown below Premium, in order of booking date.
800×200 graphic linked to your website
Link to your website
Business address and phone number
50 words of text to describe your business

ADHD
All
Anxiety
Autism
Cerebral Palsy
Cognitive Impairment
Depression & Mood Disorders
Down Syndrome
Dyspraxia
Dyslexia
Epilepsy
Hearing Impairment
Language Development
Motor Disorders
Other Learning Disorders
Other Mood Disorders
Plagiocephaly (flat head)
Prenatal Drug and/or Alcohol Exposure
Processing Disorders
PTSD
Speech Impairment
Traumatic Brain Injury
Visual Impairment

Tell Us About Your Business

Upload Image Here

Add-on Services

Title Sponsor

Platinum

Premium

Standard