WSAC Business Partner Application

First Name *

Last Name *

E-mail *

Title *

Company *

Company Website *

Phone country code

Phone number *

Street Address *

Street Address Line 2

City *

State / Province *

Postal / Zip Code *

Country

Please provide a brief summary of your business/organization including what services you provide and how those services would benefit county government. *

Company Description to be Published on Website *

List any counties that are currently or have used your services. *

Please describe the cost of your services to potential clients, including set-up fees and ongoing costs. *

What year did your business open?

Please provide a business license number if you have it

Which Business Partner tier are you most interested in (Rainier, Columbia, Cascade, unsure)? *

Do you have any additional comments?

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WSAC Business Partner Application

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