MC2 Membership Application

Please use upper & lower case type.

Name*

First Last

Role/Title*

Home Chapter (chapter you are most likely to attend)*

Birth Month

Birth Day

Email*

Phone*

Church Name*

Church Address

Street Address City State ZIP Code

Business/Organization Name*

Business/Organization Address*

Street Address City State ZIP Code

Primary Business Category*

Secondary Business Category

Other Business Category (Not listed above)

Short business description (40 words max)*

Specific discounts you want to offer members*

Website Address (If none, indicate NA)*

Business Facebook URL (copy & paste from your browser)

LinkedIn URL (copy and paste from your browser)

Company Logo and/or member photo

Max. file size: 256 MB.

Membership Covenant*

I believe Jesus Christ is the Son of God and I have personally accepted his gift of salvation.
I believe the Bible is the inspired Word of God and its teachings are to be applied to both our personal and business lives.
I agree to operate in my workplace according to biblical principles according to the best of my abilities.

MC2 Membership Fee*

Coupon