"The Village" | Profile Information
Welcome to The Village! Please complete the form below with your business contact information. Once you have submitted, please email a web-sized headshot (400x400pixels) to mothersmovingmountains@gmail.com.
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I have read and agree to The Village Terms and Conditions set forth by Mothers Moving Mountains: https://mothersmovingmountains.com/the-village-terms-conditions/ *
Your Name (how you would like it to appear in The Village) *
Business Name *
Your Title *
Location of your business (City, State) *
Type of business *
Business type (e.g. clothing, jewelry, massage, photography, etc.)
Business Website or URL where people can find you (Facebook groups and other social media platforms work too!) *
Business FB Group (if in addition to above)
Business IG Handle
Your Email Address (where MMM can contact you) *
Phone Number *
Please share one short sentence about your business and what you offer. *
What are the values and motivations behind your business? What ignites you to create this magic? *
Please describe the discount you will offer for those who find you through the MMM website (e.g. 15% off any service, $10 off any purchase, 10% off all products, etc.) If you do not want to offer a discount, no problem. *
Please enter the coupon code associated with this discount (each customer will use this as a promo code at your checkout; e.g. MMM15, Mama20, etc.) *
Are you interested in sending a sample or sharing a video with Tiffany to help her provide first-hand reviews of your product/service?
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Will you please send a web-size headshot of yourself to mothersmovingmountains@gmail.com after submitting this form? *
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