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Membership Application

Complete and submit the form below.  After payment is received in full, a LifeStyle Coach will schedule an appointment with you to assist in completing your Needs Assessment and Trade Submission forms. 

Matriarchs of Change

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Membership Application

Once your business is formed, MOCfor Global may be designated as your registered agent, allowing you to use our address for official business correspondence.


Una vez que su negocio esté constituido, MOCfor Global podrá ser designado como su agente registrado, lo que le permitirá usar nuestra dirección para la correspondencia comercial oficial.

Date of Birth / Fecha de Nacimiento - Mes / Día / Año
Month
Day
Year
Are you 18 years or older? / ¿Tiene 18 años o más?
Do you have a guardian? / ¿Tiene un tutor o representante legal?

If yes, please provide your guardian's name. / Si no, por favor proporcione el nombre de su tutor.

Relationship to Guardian / Apellido del Tutor
MILITARY STATUS / ESTADO MILITAR

Military status has priority. Please check all that apply. If none apply, check Not Applicable (N/A).

CHOOSE A MEMBERSHIP LEVEL / ELIJA un NIVEL de MEMEBRESIA
HOW DID YOU HEAR ABOUT US? / ¿COMO SE ENTERO de NOSOTROS?
Existing Member
Facebook
Telegram
Twitter (X)
LinkedIn
Mainstream News Source
Alternative News Source
Other

Please select other to provide the name of the person or business that referred you.

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By submitting this Membership Application, I attest that the information provided is accurate and complete, and I willingly agree to uphold the Membership Agreement and its Terms and Conditions in good faith.


Al enviar esta Solicitud de Membresía, declaro que la información proporcionada es precisa y completa, y acepto de manera voluntaria cumplir con el Acuerdo de Membresía y sus Términos y Condiciones de buena fe.

Please provide as many ways as possible for us to reach you with important updates, including social media links, phone numbers, and email addresses.


Por favor, proporcione la mayor cantidad posible de formas para contactarlo(a) con información importante, incluyendo enlaces a redes sociales, números de teléfono y direcciones de correo electrónico.

What is /are the best way(s) to reach you? / ¿Cuáles Son las Mejores Maneras de Contactarlo(a)?
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