PSMM Membership Registration
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First Name *
Last Name *
Email Address *
Please use an email address that you check often. THIS WILL NEVER BE SHARED, but at times we may need to contact you or send an email blast to the group.
Street Address *
City, State ZIP *
County or State of Residence *
Blog Name
Blog URL
How long have you had this blog?
How often do you update this blog?
daily? weekly? monthly?
Blog Name #2
Blog URL #2
How long have you had this blog?
How often do you update this blog?
Business You Own that has an active Social Media Presence (blog, facebook and/or twitter)
Business Website URL
Facebook Fan Page URL #2
Twitter Handle
ex. @JoLynneS
Twitter Handle #2
I have read and agree to the Terms of Use and Privacy Policy as well as the Membership Guidelines located on PhillySocialMediaMoms.com *
Required
I agree to pay the annual membership fee of $25. I have subscribed via Paypal. *
Required
Do you want to appear on the Member Directory? *
Name as you want it to appear on the Member Directory (public)
Short Bio (150 words or less)
This will appear on the Member Directory page only.
Source Code for 150x150 pixel headshot (photo of you!) for the Member Directory
Linked In Account URL
if you want it to appear on Member Directory page
Pinterest Profile Link
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