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Vitality Network Application

Thank you for your interest in becoming a member of the Vitality Provider Network! Please complete the application below and our committee will review it within 48-72 hours. We will notify you via email of our decision.
Please complete the form in full, the information provided will be used to create a profile to share on the Vitality Team Page.
Note: Your company's products and/or services should offer a holistic wellness approach. This is a requirement for all providers within our network. If approved to join our team, a yearly fee will be required, and a reciprocal service/discount will be negotiated for the referral of clients between Vitality Team members. Considerations for dual seats for the same industry/service may be made but are not guaranteed.
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    Donna has captivated many individuals over the years as a Speaker | Inner Healing Coach | Facilitator. Her healing gifts and lessons of how to live a holistic life of vitality have been positively received and implemented by many clients over the years.
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