CCMM Prospective Member Survey
Thank you for inquiring about the Cobb County Chapter of Mocha Moms. Your timing is perfect! January is our Winter Recruitment Month - one of the two times a year when our chapter actively seeks out potential new members. Membership truly has its privileges and we would love an opportunity to talk with you about joining our organization. To receive an invitation to our next open event, please complete the survey below and someone from our leadership team will contact you shortly.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mobile Phone Number *
Your answer
Which best describes you? *
Marital Status *
In Cobb County municipality, or neighboring county do you reside? *
Required
Age range of your children (check all that apply) *
Required
How did you find out about Cobb County Mocha Moms? *
Why are you interested in joining Mocha Moms? *
Your answer
Comments and/or questions
Your answer
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