WSAC Business Partner Application
Name
*
First Name
Last Name
E-mail
*
example@example.com
Title
*
Company
*
Company Website
*
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide a brief summary of your business/organization including what services you provide and how those services would benefit county government.
*
How long has your business/organization been active? Please provide a business license number if you have it.
*
List any counties that are currently or have used your services.
*
Please describe the cost of your services to potential clients, including set-up fees and ongoing costs.
*
Do you have any additional comments?
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