Amendment Form

Complete only those boxes where there is a change - otherwise leave blank

SECTION ONE - Summary information for the Therapists and Counsellors index page

Name (eg ‘Laura Weeks’ or ‘The Bristol Therapy Centre’)

Location (eg ‘Bristol UK’)

Brief Details (eg ‘Qualified Gestalt therapist working with groups and individuals’)

(max 150 characters)

SECTION TWO - Contents of your page on therapyindex.com

Banner Heading which can be the same as or different from ‘Name’ above (eg Ms L Weeks BA, CTA or ‘BTC Counselling and Psychotherapy’)

Main text (go on - sell yourself!)

>> STOP! <<

Make sure you have included in the box above all the contact information (phone, fax, e-mail address, postal address) you want people to read.

Optional - My Bookshelf
Spread the word about your list of ‘must read’ books!
Make it easy for your clients, trainees and supervisees to buy the counselling and therapy texts you recommend. Simply enter the ISBN of up to ten books in the boxes below and, in association with Amazon, we will create a personal booklist accessible from your page. Visitors can browse and purchase books online. For an example of My Bookshelf, click here .
Please type carefully. ISBN’s are always ten digits long and may include an ‘X’.

Your e-mail address nb have you signed up for your optional free therapyindex.com Mail account?

Your name

Your address

Your telephone number

Password (required)

Thank you for your amendment instructions. Your details on therapyindex.com will be changed as soon as possible.