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The Directory of
Brain-Healthy Menu
Restaurants & Hotels

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Brain-Healthy Menu
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The Directory
of Brain-Healthy Menu Restaurants & Hotels


Dora O. Chizea, M.D.  .  BHM® Restaurants Directory  . 262 Lincoln Street  .  Edensburg, PA 15931  

Application for Membership & Listing in the
Brain-Healthy Menu Directory

BMH Restaurants are just one prong in the many-pronged fight against preventable loss of brain functions consequent to Forgetfulness, Dementia and even Alzheimer's. Brain-Health is a Quality of Life issue and we are happy to act as a catalyst in bringing everyone's attention to it.

Fill out our three-step Restaurant & Hotel Membership Request.
Step one lets you provide your own contact details, step two lets you fill in details about your establishiment. Step three allows you to select your membership type and arrange payment. Form fields marked with * are required to process your membership application.

How to Join

Submit your application and credit card payment using the form below, or you can submit your membership application by FAX or regular mail by using our printer-friendly Membership Application form online.
You may fax completed applications to 814-472-4294


1.Contact Information

*Contact Name:
Title :
*Company:
*Address:
*City:
*State:
*Zip Code:
*Country:
*Telephone:
Ext.
Include Country Code, Area Code & Phone No.
*E-mail:
Choose a password to protect your membership information
*Password:
*Confirm Password:
2.Details for the Brain-Healthy Menu Directory
Be sure to include contact details
*Establishment Name:
* Address:
*City:
*State:
*Country:
*Telephone:
Ext.
*Email:

Available Membership Levels and Directory Listing Status

You are encouraged to send a copy of your sample menu within twelve months of registration if you wish to be considered for review by Restaurant Reviewers. This service could help your local business tremendously by letting people know where to find you.

*Membership type:
Remember, only members will be listed in the BHM Directory online at http://www.bhmrestaurants.com
*Listing type:


Your listing is free with paid advertisement

Find out how to send your own artwork with your Ad
3.Payment Information - check or credit card payment
*Method of payment:

visit our printer-friendly form for mail and FAX orders

(include your membership + listing or membership + advertisement total)
Mail Check or Money Order to:

PUBLISHER
BHM® Restaurants Directory
262 Lincoln St.
Ebensburg, PA 15931
Name as it appears on card:

Submit or clear your form to start over

If you would prefer to fax your application visit our
printer friendly application page.
Fax completed applications to
814-472-4294
or mail to:

PUBLISHER
BHM® Restaurants Directory
262 Lincoln St.
Ebensburg, PA 15931

 

Calling All Restaurants
& Hotels Serving
Brain-Healthy Menus

Does your restaurant or hotel serve meals that nourish the brain? If so, join the
Brain-Healthy Menu Restaurant Directory! Simply fill out our submission form and send us a sample of your Brain-Healthy Menu to be considered by Reviewers. The On-Line Directory will be updated monthly on the 1st of every month, and the print version BHM Restaurant & Hotel Directory is published twice yearly, in June and December. The directory is open to everyone seeking
Brain-Healthy Menus.
Restaurants and Hotels must apply for membership to appear in our listings.