Life@3MPH Partnership Interest Form

Life@3MPH Partner Interest Form

This helps reduce emails while planting early ideas for how we might work together.
  • If you have a wellness program now, how would you like to change it? Do you have a time line for change? Or, if you don't have a wellness program, are you thinking about adding one?
  • Please let us know when to contact you? Provide your phone number, when to call, and your time zone. Thank you!
  • How did you hear about us?
  • Please check the appropriate boxes below if you are interested in being added to our weekly e-news and want more information on becoming a Life@3MPH Champion (for individuals!).