Application Form

	MID-MISSOURI ESTATE PLANNING COUNCIL	MEMBER LOGIN
	MEMBER LOGIN

When application is submitted please send a $50 check for annual dues to: Mid Missouri Estate Planning Council 1400 Forum, Suite 7A, Box 514 Columbia, MO 65203. An invoice for annual dues can be found under the ABOUT tab, then DOCUMENTS (venmo is an option).

Fill in the information below to apply for Mid-Missouri Estate Planning Council membership.

Personal Information

First Name

Last Name

Business Name

Email Address

Website

Office Information

Business Address

Business City

Business State & Zipcode

Business Phone

Business Fax

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Line Number: 170

(Signature of applicant, if printing)
Date: Saturday, April 25, 2026

Please contact noelle.case@midwesttrust.com with questions about council membership.