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Women in Wellness | DeLand Business Directory
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Name of Person Completing the Survey:
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Title:
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Name of Business:
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Does your Business have a Physical Address? If yes, please provide your complete address. If no, please discuss where/how services are provided. 
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Please list website, social media, or other platforms that you use to promote your business/connect with clients: 
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Business Email: 
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Business Phone: 
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Best number for the person filling out the survey (If different from above):
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Best email for the person filling out the survey (If different from above):
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Website/Social Media (If applicable)
Website:
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Instagram:
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Facebook:
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Other: 
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What is the best way to contact you?
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Please provide a brief description of you business (services offered, approach to treatment, any financial information you would like listed)
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Is there a slogan or tagline that you would like to be listed in the directory? If so, please provide:
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Is there anything you would like to see from the WIW initiative? Topics of discussion, events, or other ways we can support you and your business?
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