Select a Package:
Listing Template:
Account Information:
Please write down and keep a record of your Username/Email and Password for future reference.
Username/Email:
Confirm Email:
Password:
Retype Password:
Account Information:
This information will not be displayed publicly. You will complete your profile listing after placing your order.
First Name:
Last Name:
The Business Name or Therapist Name that you wish to be listed and recognised for on chillaxME:
Company:
Address:
State:
City / Suburb:
Enter Postcode:
Phone:
Mobile:
Referral:

Our automated payment systems are run and set up via Paypal. However if you really want to become a part of the ChillaxME directory and don't have and don't wish to have a Paypal account or pay online.

So that you don't miss out, click on this "Contact Admin and Pay Offline Button"

Please note that a manual handling surcharge of $10 + GST is applicable to offline payments.

If you have a Paypal account, proceed to the Paypal payment processing gateway by clicking on the BIG GREEN Continue button below.

So you don't miss out on having your listing on ChillaxME.