13 years serving children and families     Adopting.com
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Add or Change a Listing
Contact Us
Home 		   

Name of Business:
Name of Contact Person:
Web Site (URL):
Email:
Mailing Address:
City, State, Zip:
Phone:
Toll free:
Fax:

Please give a brief (one paragraph) description of your services.

Nature of business (check all that apply): Adoption Agency       Adoption Facilitator
Attorney                       Other
If you checked "Other" above, please explain:
Are you licensed? Yes No
U.S. state(s) where you have offices:
Canadian province(s) where you have offices:
If not in the U.S. or Canada, where are you located?
Type of adoption: Domestic     International     Both

We place children from the following countries
(Please check all that apply.)
Azerbijian
Belarus
Bolivia
Brazil
Bulgaria
Cambodia
Canada
Chile
China
Colombia
Costa Rica
Dominican Republic 		Ecuador
El Salvador
Ethiopia
Haiti
Guatemala
Georgia Republic
Hungary
India
Israel
Kazakhstan
Korea
Latvia 		Liberia
Lithuania
Marshall Islands
Mexico
Moldova
Myanmar
Nepal
Panama
Peru
Paraguay
Philippines
Poland
Romania
Russia
Marianas Islands
Sri Lanka
Taiwan
Thailand
Ukraine
United States
Vietnam
Zambia
Other

If you answered "Other" above, please list which countries:

Does your web site have a Waiting Child Photolisting?   Yes No

Would you like to list your waiting children on
Adopting.com's Waiting Child Photolisting?   Yes No


Listing Options
Select your preference(s)
Profile Listing
$35 per month / $336 per year
  • Listing under multiple states
  • Business name and logo
  • Mailing address
  • Phone, fax and email address
  • Web site link

  Premier Listing
$150 per month / $1440 per year
  • Top five listing in preferred state
  • Business name and logo
  • Mailing address
  • Phone, fax and email address
  • Web site link

Banner Ad
$300 per month / $2520 per year
  • Top of page in preferred state
  • Only banner on the page
  • Viewed every time - not rotated
  • Reduced monthly rate w/contract
  • Complimentary Profile Listing
  Sidebar Ad
$225 per month / $2160 per year
  • Side of page ad in preferred state
  • Limited Number of ads
  • Viewed every time - not rotated
  • Reduced monthly rate w/contract
  • Complimentary Profile Listing
Featured Site Listing
$395 per month / $3318 per year
  • Main Page of Adopting.com
  • Limited Number of listings
  • Viewed every time - not rotated
  • Reduced monthly rate w/contract
  • Complimentary Profile Listing


Payment Options

Prepaid listings (6 month or annual) may be paid by credit card or check.

Monthly payments must be paid by credit card auto-debit.

I will be paying by: Credit Card         Check (Prepaid listings only)

Checks may be mailed to:

    Adopting.com
    954 Van Auken Circle
    Palo Alto, CA 94303

To pay by credit card, please fill out the form below:

Name as it appears on card:
Credit card type: Visa     Mastercard     American Express     Discover
Card number:
Expiration date (MM/YY):
CVV: (What's this?)
Billing address:
Zip code:

Please charge my card for: Profile Listing
$35 - Monthly Auto-debit
$336 - Annual Listing		 Premier Listing
$150 - Monthly Auto-debit
$1440 - Annual Listing
  Banner Ad
$300 - One Month
$240 - 6 Month Auto-debit
$1260 - 6 Month Prepaid
$2520 - Annual Listing		 Sidebar Ad
$225 - One Month
$200 - 6 Month Auto-debit
$1080 - 6 Month Prepaid
$2160 - Annual Listing
  Featured Site Listing
$395 - One Month
$316 - 6 Month Auto-debit
$1659 - 6 Month Prepaid
$3318 - Annual Listing

Additional Comments: