Healthspan Collective Partnership Request 2026 
First email should be the logistical contact person
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First and Last Name of main contact *
Phone number of main contact *
Email of main contact *
Company Legal Name
Brand Name (if different)
Type of Partner -  Select all that apply  OR write "not sure" if you want to request more information  *
Full mailing address for agreement and invoice  *
Company Website URL for promotions *
Preferred Social media handle - IG, LinkedIn, or..? Please provide link.  *
Other social media profile links - optional
Please provide a link to a high resolution png (transparent) logo TO THIS FOLDER *
Are you interested in providing products for Gift Bags or Raffles? We will follow up on this if you say YES to any of the below.  *
Required
Anything else we should know?
Our team is looking forward to collaborating with you and will be in contact soon!
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