Checkout | Business Membership

[MM_Form type='checkout'] [MM_Form_Message type='error']
[MM_Form_Section type='accountInfo']

Membership Account Information


[MM_Form_Field type='input' name='firstName' customAttributes='placeholder="First Name"']


[MM_Form_Field type='input' name='lastName' customAttributes='placeholder="Last Name"']


[MM_Form_Field type='input' name='username' customAttributes='placeholder="User Name"']


[MM_Form_Field type='input' name='email' customAttributes='placeholder="Email Address"']


[MM_Form_Field type='input' name='password' customAttributes='placeholder="Password"']


[MM_Form_Field type='input' name='phone' isRequired='false' customAttributes='placeholder="Phone Number"']

[/MM_Form_Section]

Update: Business/Organization Details

Business/Organization Name: [MM_Form_Field type='custom' id='10' isRequired='true' class='']

Title: [MM_Form_Field type='custom' id='7' isRequired='true' class='']

Address: [MM_Form_Field type='custom' id='11' isRequired='true' class='']

City: [MM_Form_Field type='custom' id='12' isRequired='true' class='']

State: [MM_Form_Field type='custom' id='13' isRequired='true' class='']

Zip: [MM_Form_Field type='custom' id='14' isRequired='true' class='']

Country: [MM_Form_Field type='custom' id='17' isRequired='true' class='']

Phone: [MM_Form_Field type='custom' id='15' isRequired='true' class='']

Website: [MM_Form_Field type='custom' id='16' isRequired='true' class='']

Industry: [MM_Form_Field type='custom' id='18' isRequired='true' class='']

Update: About Me

I am a: [MM_Form_Field type='custom' id='21' isRequired='true' class='']

My age range is: [MM_Form_Field type='custom' id='22' isRequired='true' class='']

Race/Ethnicity: [MM_Form_Field type='custom' id='24' isRequired='true' class='']

Education: [MM_Form_Field type='custom' id='89' isRequired='true' class='']

[MM_Form_Field type='custom' id='94' class=''] I am a Veteran

[MM_Form_Field type='custom' id='90' class=''] I am seeking access to government contracts

My Twitter Handle: [MM_Form_Field type='custom' id='93' isRequired='true' class='']

How did you hear about the USWCC?: [MM_Form_Field type='custom' id='23' isRequired='true' class='']

Update: My Councils

[MM_Form_Field type='custom' id='35' class=''] Business/Entrepreneur (Open to Business & Supplier Members)

[MM_Form_Field type='custom' id='38' class=''] Public Policy

[MM_Form_Field type='custom' id='40' class=''] I Vote for Women

[MM_Form_Field type='custom' id='39' class=''] Young Women

[MM_Form_Field type='custom' id='41' class=''] Career & Workplace

[MM_Form_Field type='custom' id='42' class=''] The Women-Led Economy

[MM_Form_Field type='custom' id='43' class=''] Financial Management & Retirement

Update: My Policy Issues

[MM_Form_Field type='custom' id='76' class=''] Consumer Financial Protection

[MM_Form_Field type='custom' id='77' class=''] Economy

[MM_Form_Field type='custom' id='78' class=''] Energy

[MM_Form_Field type='custom' id='79' class=''] Fair Pay & Workplace Policies

[MM_Form_Field type='custom' id='80' class=''] Appropriations & Budget

[MM_Form_Field type='custom' id='81' class=''] Government Contracting

[MM_Form_Field type='custom' id='82' class=''] Health Care & Benefits

[MM_Form_Field type='custom' id='83' class=''] Commerce & Trade

[MM_Form_Field type='custom' id='84' class=''] Policy & Politics

[MM_Form_Field type='custom' id='85' class=''] Retirement

[MM_Form_Field type='custom' id='86' class=''] Small Business

[MM_Form_Field type='custom' id='87' class=''] Technology & Communications

[MM_Form_Field type='custom' id='88' class=''] Veterans & Women in the Military

[MM_Form_Section type='billingInfo']

Billing Details

Visa, Master Card, American Express, Discover


[MM_Form_Field name='ccNumber' customAttributes='placeholder="Credit Card Number"']


[MM_Form_Field name='ccSecurityCode' customAttributes='placeholder="Security Code"']


[MM_Form_Field name='ccExpirationDate']

Billing Address


[MM_Form_Field name='billingAddress' customAttributes='placeholder="Billing Address"']


[MM_Form_Field name='billingCity' customAttributes='placeholder="Billing City"']


[MM_Form_Field name='billingState' customAttributes='placeholder="Billing State"']


[MM_Form_Field name='billingZipCode' customAttributes='placeholder="Billing Zip Code"']


[MM_Form_Field name='billingCountry']

[/MM_Form_Section] [MM_Form_Section type='shippingInfo']

Shipping Address


[MM_Form_Field name='shippingMethod']

Shipping is the same as billing
[MM_Form_Field name='shippingSameAsBilling'] [MM_Form_Subsection type='shippingAddress']


[MM_Form_Field name='shippingAddress' customAttributes='placeholder="Shipping Address"']


[MM_Form_Field name='shippingCity' customAttributes='placeholder="Shipping City"']


[MM_Form_Field name='shippingState' customAttributes='placeholder="Shipping State"']


[MM_Form_Field name='shippingZipCode' customAttributes='placeholder="Shipping Zip Code"']


[MM_Form_Field name='shippingCountry']

[/MM_Form_Subsection]
[/MM_Form_Section] [MM_Form_Section type='coupon']

Coupons

[MM_Form_Field name='couponCode'] Apply Coupon

[MM_Form_Message type='couponSuccess'] [MM_Form_Message type='couponError']
[/MM_Form_Section]

[MM_Form_Data name='productName']

[MM_Form_Data name='productDescription']

  • Purchase Price: [MM_Form_Data name='productPrice']
[MM_Order_Decision isShippable='true']
  • Shipping Price: [MM_Form_Data name='shippingPrice']
[/MM_Order_Decision] [MM_Order_Decision isDiscounted='true']
  • Discount: [MM_Form_Data name='discount']
[/MM_Order_Decision]
  • Total Price: [MM_Form_Data name='totalPrice']
[MM_Form_Button type='all' label='Submit Order' color='orange']
[/MM_Form]