MCC-Business Sign Up

MCC BUSINESS REGISTRATION
NOTE: This form is hosted on a secure server and the information you provide is kept confidential and will be used for the sole purpose of registration at one or more My City Connected events and/or training classes. We will not rent, sell or share your information with any 3rd party. MY CITY CONNECTED, and its employees, agents, or representatives will not at any time or in any manner, either directly or indirectly, use for personal benefit, or divulge, disclose, or communicate in any manner, your personal information. MY CITY CONNECTED and its employees, agents, and representatives will protect such information and treat it as strictly confidential. This provision will continue to be effective after the termination of any and all communications, agreements, or contracts. ALL FIELDS ARE REQUIRED


First Name:	*
Last Name:	*

Company/Business Name:	*
Title:	*

Business Address:	*

City:	*
Zip Code:	*

Business Phone:	*

Cell Phone: For Receiving Text Messages	*

Email:	*

How did you hear about My City Connected?	*

Tell us a little something about your business.	*

Subscribe to our Newsletter:	*	Yes No

Security Code	*

MCC BUSINESS REGISTRATION