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 2021 dues can be found under the 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: Monday, April 21, 2025

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