APPLICATION
PARTNERSHIP CONTRACT
COMPANY LEGAL NAME (IF YOU ARE AN INDIVIDUAL PERSON, PLEASE INDICATE NAME
BRAND NAME
BUSINESS ACTIVITY/INDUSTRY (PLEASE CHOOSE FROM THE LIST)
Accounting
Adults Care
Agriculture
Vehicle Service
Art
Beauty and Aesthetic
Child care
Development
Education
Grocery
Hospitality
Insurance
Legal service
Medical
Other Service
Professional Service
Psychology
Restaurants and Cafe
Shopping
Sport
ADDRESS WHERE YOU GET YOUR MAIL
ADDRESS WHERE YOUR BUSINESS LOCATION (REQUIRED IF DIFFERENT FROM ADDRESS FOR MAIL)
ABOUT COMPANY (Short Description of an activity)
CONTRACT DURATION
1 month
3 months
6 months
12 months
CHOOSE A PACKAGE
BUSINESS BASIC $49.99
BUSINESS STANDARD $99.99
BUSINESS PREMIUM $199.99
WOULD YOU LIKE TO OFFER PROMOTION FOR CUSTOMERS
YES
NO
INFORMATION ABOUT CONTACT PERSON
I certify that the information I have given on this application and on any documentation (photo, video etc) provided in support of this application is true and complete. I agree to publish provided information on Georgianspace.com and thru supported social media space.
I CONFIRM CONSUMER AGREEMENT
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