Overview of Listing Application Steps:
- Do not press your browser's back button during the application process or you will lose the information you have entered.
- SCROLL down to each section (instead of tabbing down) to be sure that you do not miss a section.
Fill in Parts One and Two below.
- When you have completed Part Two, you will be asked to check the “I AGREE” box and press “SUBMIT.” After you press “SUBMIT,” if all of the required information was entered correctly, you will
see the “Success! Your form was sent” confirmation at the bottom of the page. If
this “Success” confirmation does not appear, scroll back up through Parts One and Two, check off or enter any missing information, and then check off the “I AGREE” box and
press “SUBMIT” again.
- Below the “Success! Your form was sent” confirmation, you will be instructed to click through to the Payment page where you will be able to pay online with PayPal.
- Please email a 500 pixel max longest dimension jpg version of your logo-banner along with the website address to which you would like the logo-banner linked. Send to firstname.lastname@example.org.
- After your application, logo-banner, and payment have been received and your information has been reviewed, your listing and logo-banner will be included in the AABA of Philadelphia
Treatment Provider Online Directory for the one-year membership cycle (September 1 through August 31). Your logo-banner will be linked to your website and displayed at the top of the
Directory's "Search for Treatment Providers" page and on your center's listing page.
Information in Part One will be included in your Directory listing. Please be sure that your responses are accurate and recorded as you want them to appear in the Directory. No
changes can be made to directory listings until next year’s renewal period (with the exception of changes in phone, address
(If this is a renewal and you do not want
to make any changes to your listing, you do not have to reenter all of the information again. Just enter "same" in the boxes marked with
an asterisk in Part One. Please then complete Part Two.)
The confidential information in Part Two is for AABA of Philadelphia Board review only. It will not be included in your Directory
If you have questions or difficulty with this online form or with emailing your logo-banner, please contact the Directory administrator at email@example.com.