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* Business Name

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* Years in Business 

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* First and Last Name(s). (When applicable, include business partner/co-founder names if desired) 

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* Primary Contact Information (private, for WESK internal use only)

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* Please provide a brief bio. This may be used on WESK social channels, and on the WESK Database if you choose to be listed. (150 words max)

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* Please provide a brief business description. This may be used on WESK social channels, and on the WESK Database if you choose to be listed. (150 words max)

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* Please upload your logo. Please use your business name as the file name.

PNG, JPG, JPEG file types only.
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* Please upload a recent headshot. Please use your full name as the file name to allow us to identify you.

PNG, JPG, JPEG file types only.
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