Wellness Directory Intake Form
www.holistichealingfair.com
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Contact Name
First Name
Last Name
Company Name
Location
City (IE: Barrie, Ontario)
Address (Optional)
City (IE: Barrie, Ontario)
Business hours (Optional)
E-mail
Phone Number
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Area Code
Phone Number
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Product Category - Please click all that apply
Accessories/Jewelry
Books/Music
Handmade Items
Bath or Soap Products
Beauty/ Natural Make up Products
Candles
Ceramics/Glass/Woodworking
Children Focused
Clothing Products
Energy Healing
Holistic Practitioner
Healthy Living
Psychic/ Medium
Art/Paintings
Health and Wellness Focused
Mental Health Focused
Food and Beveage
Other
Business Tagline (If Available)
Short Description of Business (One Sentence Only)
Full Detailed Description of Business
Attach 3-5 photos of your products/business and your logo here:
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Accepted file formats: GIF, JPG and PNG
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