M.O.S. Membership Application

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Welcome to the Mississippi Obesity Society application form.

We are a group of individuals dedicated to promoting healthy lifestyle habits and combating the rising rates of obesity in Mississippi. Our organization provides a platform for education, advocacy, and research to support those affected by obesity, as well as the healthcare professionals who treat them. We strive to create a community where individuals can find support, resources, and guidance on their journey towards a healthier lifestyle.

By becoming a member of our society, you will have the opportunity to connect with like-minded individuals, attend educational events, and contribute to our mission of combating obesity in Mississippi.

Please fill out the following application to join our efforts in promoting a healthier Mississippi.

Email *

Name *

First and last name

Phone number *

What is your occupation? *

Reason for Joining:

Please tell us why you want to become a member of our organization and how you hope to contribute to our mission.

By submitting this application, I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand that membership acceptance decisions are at the sole discretion of the organization and I agree to abide by the rules and regulations of the organization.
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