Apply As A Partner - Connect & Thrive (CAT)

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First Name*

Last Name*

Email*

Are you a...?*

PractitionerProduct VendorBoth

Primary Healing Modality*

Please select the primary healing modality that is most closely aligned with your business.

Primary Modality Sub-Category *

Please select the primary healing modality that is most closely aligned with your business.

Secondary Healing Modality

Please select the secondary healing modality that is most closely aligned with your business.

Secondary Modality Sub-Category

Please select the secondary healing modality that is most closely aligned with your business.

Tertiary Healing Modality

Please select the tertiary healing modality that is most closely aligned with your business.

Tertiary Healing Sub-Category

Please select the tertiary healing modality that is most closely aligned with your business.

Please detail all of the credentials that pertain to your healing modalities.*

This should include relevant information such as academic degrees, licenses, certifications, accreditations, and affiliations.

0/1000

Do you accept insurance?*

YesNo

Do you accept private pay clients?*

YesNo

Full legal name of your business.*

Business name as you would like it to appear in CAT’s Marketplace.

If different from the legal name of your business.

Legal mailing address of your business.*

Country*

State / Province / Other

City

Zip Code*

Address of location where you see clients.

If applicable.

Country

State / Province / Other

City

Zip Code

Hours of Operation

monday

tuesday

wednesday

thursday

friday

saturday

sunday

Business Website URL

Phone Number

HomeBusinessMobile

Professional bio as you would like it to appear in CAT's Marketplace.*

0/1250

How did you find out about CAT?

If applicable, please note any additional details.

You may include a company logo and a photo that will be displayed in CAT's Marketplace.

Please upload your company logo below.

Upload Company Logo

Suggested Minimum Size: 1080px x 1080px

Allowed File Types: jpg, jpeg, png

Please upload your company photo below.

Upload Company Photo

Suggested Minimum Size: 1080px x 1080px

Allowed File Types: jpg, jpeg, png

Social Media

You must include the entire URL, not just your username or handle. For example, https://instagram.com/connect_and_thrive.

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