Home / Membership /

Member Sign Up

BEcome a Member

Personal Information
We need this information so we can contact you with information and upcoming events. This information will not be public.
Name*
First Last
Email*
Phone
H3BE.com Access
You will be able to create your business listing for the Well BEing eDirectory, your member spotlight page and contribute Words of Wisdom to the community with your membership.
Create a user name*
Password
Enter Password Confirm Password
Membership Options
Membership
Choose Membership Level*
- Provider (GOLD) $350.00
- Provider (SILVER) $300.00
- Provider (BRONZE) $200
- Business (GOLD) $600
- Business (SILVER) $450
- Business (BRONZE) $300
- Non-Profit (GOLD) $500
- Non-Profit (SILVER) $450
- Non-Profit (BRONZE) $300
Note: this is a subscription membership and you will automatically be billed each year. You may cancel at anytime through your PayPal account or by contacting us.
Total
$0.00
Would you like to join our mailing list and be an active part of our growing community and stay informed... Its FREE!*
Section Break
Business Name
Title
Business Website
Facebook URL
LinkedIn URL
Twitter URL
Google Plus URL
Business Contact Email

For public view
Business Phone
Business Address
Street Address City State / Province / Region ZIP / Postal Code Country
Services Offered
Head Shot
Accepted file types: jpg, gif, png.
Listing profile picture
Logo File Upload
Accepted file types: jpg, gif, png.
Membership Questionaire
How long have you been in business?
What services do you provide? What is your area of expertise?
What are your educational background and certification levels?
What do you love about Park City?
(For Professionals) What brings you happiness?

Note: The purpose of this question is to give your perspective clients an understanding of who you are and what matters to you.
If you could share your wisdom on how to BE healthy and happy, what are the important things you would pass along to others?
How do you or your company support others to BE healthier and happier?

Home / Membership /

Member Sign Up

BEcome a Member

Personal Information

H3BE.com Access

Membership Options

Section Break

Membership Questionaire