WellBEing Resource Application
Thank you so much for your interest in being featured in WellBEing Resource and/or attending our events.

Submit the following application and we'll be in touch very soon!

Thank you ~ Jill Bernard, Publisher
Jill@iLoveWellBEing.com • 916-538-WELL

Your name:
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Your phone number including area code:
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Your email address:
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A link to at least one of the following: Website, Facebook Page, and/or LinkedIn Profile:
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Favorite Form Of Communication
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Are you in business and, if so, what do you offer?
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Do you have any applicable trainings/certifications? If so, please list below.
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Why would you like to be a part of WellBEing Resource and/or attend our happenings?
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What are your interests? {Check all that apply}
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Were referred by someone? If so, please share who :)
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Thank you so much for your submission! Feel free to include any comments or questions below:
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Regarding WellBEing mixers & gatherings, what interests you? {Check all that apply}
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