Movers & Shakers Inc. Application for Membership

Movers & Shakers

Social Club, Inc.

Application Form 2026-2027

(DEADLINE FOR SUBMISSION - 30 April 2026)

Thank you for your interest in membership with the Movers & Shakers Social Club, Inc. Complete the following form and submit a $25 application fee via Apple Pay (228-229-4345), Paypal (moversandshakers2022@gmail.com), or via the website at https://www.moversandshakerssc.org/event-details/membership-application-fee. Please include your name when sending payment. Your $25 will be credited to your membership dues upon acceptance. You will receive an email detailing the status of your pending application once your application fee is received. If you have any questions or concerns, please contact moversandshakers2022@gmail.com

Personal Information
Full Name*

First NameMiddle NameLast Name
Gender*

MaleFemale
BIRTHDATE*

MonthDayYear
Date
Mobile Number*

Area CodePhone Number
E-mail*
Current Address (ONLY CITY AND STATE ARE REQUIRED)*

NOT REQUIRED

NOTE REQUIRED

CITY REQUIREDSTATE REQUIRED

NOT REQUIREDNOT REQUIRED

MEMBERSHIP QUESTIONNAIRE
Do you know of anyone currently serving in our organization? If yes please list their first and last name.*
Are you currently a member of any other local philanthropic organizations? If so, please list them and any leadership roles you currently hold or have held in the past.*
Please describe what would make you a great member of the Movers and Shakers Social Club, Inc.*

Submission
Is there any other information that you would like to share with us?
Please upload a resume and/or any supporting documentation for our reference that may be relevant to your membership application with our organization.*

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