Listing Asset Form – CSTAR International

LISTING INFO

Full Name

Email *

Phone *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Website

Listee Type

Please choose the selection that best describes you.

PERSONAL INFORMATION

Personal Information text *

Please tell us some personal info about you, likes, past-times, including what got you into medicine or inspired you to start your business.

Medical or Business Resume

Please provide your professional medical or business resume as it pertains to your current work, including schooling/previous work/ certifications and awards

Business Tags

Please add up to 4 business tags you would like to be found by. i.e. Doctor, Dominican Republic, Cosmetic Surgery.

IMAGES

Instructions

Doctors: Please upload a clear, front-facing photo of yourself for the listing.

Centers/Houses: Upload an image you want to represent your business for the directory thumbnail. The file should be less than 200mb in any of the following formats: jpeg, png, gif, jpg.

Listing Thumbnail *

Gallery Images

You may also upload up to 10 additional images for your listing.

File Upload

VIDEO

Listing Video

You may also use a video in your listing if desired. We can embed videos that live on YouTube or another video service only. We CAN NOT take any full video files. Please add the embed URL of your video below.

Video URL