JOIN OUR ECOSYSTEM

Local Maker Application

Fill out the form below to join the Personage Empower Marketplace. Our team will review your information and get back to you within 3–5 business days.

Secure & Confidential

Your information is safe with us.

Community Focused

Join a network of local makers.

Grow Your Impact

Reach local businesses and grow your business.

APPLICATION

Fill out the form

›

REVIEW

We'll review your details

›

SUBMIT

We'll be in touch soon

What Happens Next?

Submit Application

Send us your information and documents.

Review Process

Our team will review your application within 3–5 business days.

We'll Be In Touch

You'll receive an email once your application is reviewed.

1. Personal Information

Full Name *

Email Address *

Phone Number *

Date of Birth *

Business Name *

Years in Business *

2. Home Address

Address Line 1 *

Address Line 2 (Optional)

City *

State *

ZIP Code *

3. Business / Production Address

Same as home address

Address Line 1 *

Address Line 2 (Optional)

City *

State *

ZIP Code *

This is the address where your products are made, prepared or packaged.

4. About Your Products

Please briefly describe the products you create. *

0 / 250

5. Required Documents

Business License *

Upload a copy of your current business license.

Upload File

PDF, JPG or PNG (Max 10MB)

Seller's Permit *

Upload a copy of your active Seller's Permit.