You Can Be Listed as a Professional Dowser
on the Dowsers of the West Website

For a yearly fee of $25 (subject to change) you can be listed on www.dowsersoftheWest.org/dowsers/YourName.shtml. Please be sure to fill out the form below carefully. An additional fee of $25 will be charged for any changes to your listing in the future.

Fill out this form (either print it out and write on it, or save it as text and then use your word processor), and follow the instructions at the bottom of the page.

APPLICATION FOR LISTING AS A PROFESSIONAL DOWSER on the DowsersOfTheWest.org web site

Name __________________________________________________

(Your address will not be listed on the web site unless you request it)

Address __________________________________________________

City, State and Zip code _______________________________

Telephone _(_____)___________________________

Call between the hours of ______________________________

E-mail
__________________________________________________

Web Site
__________________________________________________

Dowsing expertise: Check all that apply to you.

__ Acupuncture

__ Bioenergy Balancing

__ Building Labyrinths

__ Feng Shui

__ Geomancy

__ Spritual Response Therapy

__ Other

Clearing: __ People __ Land __ Buildings

Locating: __ People __ Pets __ Lost Objects __ Underground Water

Teaching: __ Classes __ Workshops __ Field trips

Which single area (of all mentioned above) would you describe as your specialty?

Give a brief description of your services and fees:

List four references (not related to you) - please include name, phone number and email:

1. ________________________________________________
   
   
2. ________________________________________________
   
   
3. ________________________________________________
   
   
4. ________________________________________________

Make your checks payable to Shirley Runco. Contact Shirley at
dowsershirley@hotmail.com or call (510) 278-3136 for the address to mail the completed form along with your check.