Mail Form

Mail Application

Name: Date:

Phone Number:

Business Name:

Address:

City: State:

Location: (area or city where you work)

License #

Massage Rates:

Description of Services - Sell yourself, what do you do best? (30 words or less)

Signature:

                                       Print this form and mail with check for $ 25.00
                                       Make check out to Discount WWWorld Inc.

                                       Send to: Discount WWWorld Inc.
                                                      Massage Referral Service
                                                      4640 25th Avenue North
                                                      St. Petersburg, Florida 33713

If you are a massage therapist, massage business, or massage school and wish to join please fill out the following form at join here.