Sliding Scale Careworker Discount Application

Sliding Scale Careworker Discount Application

Please share a little about your sliding scale carework practice. We'll reach out to you within about two weeks with your acceptance status and discount code, or request any additional information we need to make a decision.
Your Name*
Email (for receiving your discount!)*
example@example.com
Please also send me your wholesale price listSubscribe to practitioner newsletter (One email a month! Receive updates and reminders about seasonal wholesale, exclusive content and non-public offerings)
Your Practice Name (if applicable)
Links to any internet presences (website, social media, etc) associated with your practice (if applicable)
Do you primarily see clients...*

OnlineIn-person
What approximate location (city or rural region) do you practice in?*
Are you interested in receiving print materials for your in-person practice? Select all that apply

NoCustom blend pamphlets including available herbs and ordering directionsProduct catalogsBusiness cards with your unique discount code
Please share 3-5 sentences about what kind of work you do, who you work with, and the parameters of your sliding scale. *
How did you hear about this program?*
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