Membership Application Form

Note: The information you enter below is what will appear on your website listing. Please list the address, phone number, image and brief description of your business (~100 words) exactly as you would like it to appear on your HSEP website listing.

  • Name:
  • Business Name:
  • Website:
  • Service Offering(s): Select all that apply:
  • Email:
  • Phone:
  • Address:
  • Is this a mailing or physical address?
  • Upload Vendor Listing Logo or Image (Landscape/Horizontal images work best.)
  • If you would like to received a badge on your listing noting that you are an insured vendor, please upload your proof of insurance documents here.
    Drop files here or
  • Vendor Listing Description:
  • Please list 2 (two) Professional/Client References. *If you are a renewing member, please type "Renewing" in this field* :