Motivating Mondays, LLC
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There is power in numbers and we all succeed when we work together!!!

     
Membership Eligibility Application

Please complete the following questions to determine eligibility with MM.
All fields are required in order to be considered.
Business/Organization Name::
First Name:
Last Name:
Business Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Business Phone:
Evening Phone:
Mobile Phone::
Website::
Email:
Years In Business::
Number of Employees/Independent Contractors::
Annual Revenue (choose one):
What can you tell us about your business and why anyone should use your services?:
Why are you interested in joining Motivating Mondays?:
What do you have to offer Motivating Mondays?:
What do you hope to gain from participating in Motivating Mondays:
Have you participated in a Brain storming or similiar type group in the past?:
Are you interested in leadership of Motivating Mondays (Pres.VicePres, Secretary)?:
Add a business reference:
Reference's phone number::
Add a second business reference::
Reference's phone number::
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