CIC Wellness Service Proposal Form
Thank you for your interest in CIC! Our wellness team is dedicated to connecting wellness service providers with our 2,000+ clients. Over the years, we have hosted nutritionists, wellness coaches, meditation teachers, belly-dance instructors, and others. Specifics on our current offerings can be found at wellness.cic.us. If you are interested in working with us, please fill out the following form and a member of our team will respond as soon as they are able. If you have any trouble, please contact wellness@cic.us.

Please note that while we love connecting our enthusiastic clients with providers just like you, we are not currently able to provide upfront costs. We are happy to promote your cause and provide space for you should we agree on a mutual fit, but all financial support does come directly from our clients. Please plan on using Paypal, Eventbrite, or another service to obtain any funding you may need.

What is your name?
Your answer
What is your email address?
Your answer
Are you a current CIC client?
If yes, what is the client company's name?
Your answer
Please provide us with a link to your website.
Your answer
Please briefly describe what you would like to do at CIC.
Your answer
Were you referred to us by a current CIC client?
If yes, which CIC client referred you?
Your answer
If you were not referred to us by a current client, how did you hear about CIC's wellness program?
Your answer
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