Mosaic Makers Co: Maker Info Form

Welcome to Mosaic! We want to file away important information about you (confidentially, of course!). Your info is safe with us! We only use it to stay in touch with the awesome makers (like you) in our shop and never share it with anyone outside of staff and accounting.

Let us know the following, so we can reach out as needed:

Full Name

Email *

Business Name *

Website

Date of birth

Phone *

City *

Address *

State *

Postal code *