Clone of MMW Membership Application

MMW Membership Application

Please provide all of the following required information. Once you submit the form, please email up to 3 high-resolution images for your listing to info@mymontanawedding.com.
Please verify that your business is located in Montana:*
Liability insurance is required for MMW membership. For your application to be approved, we must have your certificate of liability insurance on file. Please email it info@mymontanawedding.com. Does your business have liability insurance?*

Yes.No.
Is your business registered in the state of Montana?*

Yes.No.
What is your member status?*

I am a new member.I am renewing my membership.
Business Name*
Contact Name*

First NameLast Name
Contact Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Web Site Address
If billing contact is different from that listed above, please include that person's name and contact information here.
Please select your main category.*
Two categories are included with your membership. Would you like an additional category or categories?*

Yes.No.
Please select your additional category or categories.*

Attire and AccessoriesDecorFood and BeverageLodging and VenuesPhotographyMediaVideographyProfessional ServicesRentalsTravel and Activities
Please type a brief business description below. This description will be displayed on your MMW web page listing.*
Who referred you to My Montana Wedding?
Please select which of the following areas your business services:*

Northwest MontanaWestern MontanaSouthern MontanaCentral MontanaEastern MontanaNorthern Montana
Please list two current MMW members you have worked with.
Please select that you agree to ALL of the following:*

I have read and agree to the terms listed above.I understand that once my application is completed, the certificate of liability insurance is on file, my business is registered with the Montana Secretary of State, payment is received, and my application is approved by the board of MMW, my business listing will be posted online in the category that was specified. My listing will display my business name and contact information, as well as a brief business description and my choice of business photo or logo, which will need to be attached to this application or emailed to info@mymontanawedding.com.I understand that ALL MEMBERS MUST DO BUSINESS AND BE LOCATED IN MONTANA.I understand it is mandatory for my business to have liability insurance. I will email it to info@mymontanawedding.com for MMW to have on file.I will keep my contact information current with MMW.
Date*

MonthDayYear
Date
Please type your name below as an acting signature for this form.*
My Products*
prevnext( X )
New Membership$400.00
Membership includes first three categories

Renewal Membership $350.00
Membership includes first three categories

Additional Category$50.00

Quantity

Total $0.00
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