Indigo Moon Associate Application Form
Thank you for your interest in the Indigo Moon Holistics Associates Programme. Please complete the form below with as much information as possible. 
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Email *
Name *
Business Name *
Address *
Mobile Number *
Email Address *
Confirm Email Address *
Website Address
Social Media Handles *
Briefly tell us about yourself and your personal healing journey *
Please describe the work you do, your approach to healing and your business mission. *
Please list the treatments/services you offer and your prices *
Please list all relevant qualifications *
Please confirm you have Public Liability Insurance *
Please give details of any Professional or Business Federation Memberships that you hold. *
How long have you been working as a therapist/healer/lightworker? *
Where do you currently work *
How do you currently promote your business? *
Do you or will you be looking to run workshops, courses or events. Please give details *
Would you be interesting in giving talks and taster workshops at Indigo Moon Wellness Centre to attract more clients to your business? *
Do you make and/or sell any products? Please give details.
Will you be looking to hire one of our therapy rooms and/or the wellness studio? *
Would you be interested in half or one-day pop-up stall in the shop? *
How do you see your business developing in the future. Do you have any plans/offerings that you want to explore? *
Why are you interested in becoming an Indigo Moon Associate? What are your expectations? What would you like to get out of becoming a member of our Associate Programme? *
Where did you hear about us? *
I have read and understood the Best Practice Policy and the Terms and Conditions. *
Required
Thank you so much. We will be in touch with you soon.
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