Feature Application:

Thank you for your interest in joining WellBEing Resource. We are excited to discover more about the services you provide!

The purpose of this application is to gain insights into your business, expertise, goals, and interests, and to determine if there is a potential match. Once we receive your completed form, we will arrange a personal and in-depth conversation with you.

We appreciate your time and consideration!

Sincerely,

Jill Bernard, Publisher
WellBEing Resource
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Your Full Name: *
Business Name:
Phone Number: *
Email Address: *
Preferred method(s) of communication: *
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Services and/or products offered: *
Applicable trainings/certifications:
List one, or all, of the following:  1) Website Address  2) Facebook Page  3) Instagram Handle  4) LinkedIn Profile *
Where do you conduct business? *
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What interests you about being part of WellBEing Resource? *
Check Your Interests: *
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Referred by someone? If so, please share below:
Share any additional questions / comments you have below... and thank you!
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