Hi there! Are you ready to build your amazing member profile? A couple tips:

1. Fill out every field for maximum SEO and sales power.

2. Check your info carefully. Make sure those links work. We can’t guarantee we’ll have time to go in and fix stuff during our membership drive and we’d hate to see any mistakes stick around until we build you a direct editing portal.

After you complete THIS form to submit your basic company info, you can then move on to the other sections. Complete them one by one. But don’t drag your feet on this. . . .

Because once we have everything from you, THEN we will build your profile and it should go live in 1-2 business days…maybe even sooner. Yippee! We know you’ll love the final result. Your profile is gonna make you look even more MARVELOUS than you already are!

Part 1: Basic Company Info – Gold & Platinum Members

Your name and contact info, so we know who to reach regarding your profile. FOR INTERNAL USE ONLY. *

Basic Business Info for Your Profile

Name of Company/Organization exactly as you want it to appear (displayed at top of page) *

(1) Business Phone *

(2) Website - type the URL carefully and double-check *

(3) Physical Location/Headquarters (city and state, or full address) *

(4) Area(s) Served (list states or regions, or "National") *

(5) State License Number - required for ALL businesses that receive a state-issued license, including trades, cannabis businesses, CPAs, medical professionals, etc.) *

Type N/A if not applicable. If you are an unlicensed cannabis business, type Pre-licensed.

(6) License Expiration Date (MM/YYYY or MM/DD/YYYY) *

If N/A above, type N/A. If pre-licensed above, type state where you hope to acquire a license.

(7) Year Founded *

(8) Name(s) of Founder(s)

Social Media Links (for the company, not for individuals)

Facebook - enter entire URL

Instagram - enter entire URL

Google+ - enter entire URL

YouTube - enter entire URL

LinkedIn - enter entire URL

Twitter - enter entire URL

TELL US ABOUT YOUR BUSINESS

Who We Are and What We Do (recommended max. 300 words or 1500 characters) *

Core Services/Specialties (will display in all caps near top of page) - 8 max, separate with commas please *

Attention-Grabbing Headline - Displayed at Top of Profile (recommended max 75 words or 450 characters)

TOP 5 LISTS

Top 5 Products & Services (list in order)

Top 5 Clients We Love (list types, NOT specific names)

Top 5 Partners We Can Refer To & Want Referrals From (list types, NOT specific names)

CONTACT FORM - WHO SHOULD RECEIVE MESSAGES SENT VIA YOUR CONTACT FORM?

Email *

MEMBER DEALS

Totally optional, but if you want to offer special deals, discounts, giveaways, or anything like that to your fellow Trailblazers, list those here..

BRAG BOX! - PLATINUM ONLY

This is where you list and talk about awards, honors, special projects, noteworthy results, and anything else you're proud of.

UPLOAD YOUR COMPANY LOGO HERE, OR UPLOAD IT WITH ALL THE OTHER PHOTOS FOR YOUR AWESOME PREMIUM PROFILE!

Logo

You checked and double-checked everything, right? All the links work? Everything is spelled correctly? We're just asking. 🙂

Print this page for your records if you wish (you won't see your entries again after you click submit).

Website