Body & Soul Partners Form

Owner/Manager Information

FOR CVB USE. PLEASE SUBMIT MULTIPLE LOCATIONS SEPARATELY.

Owner / Manager Name*

First Last

Title*

Owner/Manager Address*

Street Address Address Line 2 City State ZIP Code

Owner/Manager Email*

Owner/Manager Phone*

THIS INFORMATION WILL BE AVAILABLE TO THE PUBLIC. PLEASE SUBMIT MULTIPLE LOCATIONS SEPARATELY.

Business Name*

Address*

Street Address Address Line 2 City State ZIP Code

Public Email

Website

Facebook

Public Phone*

Description of Services*

IF YOU ARE INTERESTED IN WORKING WITH A MINIMUM GROUP SIZE OF 15 PLEASE PROVIDE DETAILS AND INCLUDE AN EMAIL TO RECEIVE LEADS

Details for group services if applicable

Email Group Leads to

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Comments

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