Membership & Engagement Request

Submitter Name *

Submitter Email *

Organization Name

Submitter Role *

Request Title *

Memb — Request Type *

Memb — Overview *

What you want this to accomplish.

Memb — Member Segment *

Memb — Frequency / Schedule

e.g., '3 renewal reminders over 6 weeks' or 'monthly'

Memb — Target Launch / Completion Date *

Memb — Additional Notes

Links to Your Files

Paste links to your files here — your shared MBM360 Google Drive folder, Dropbox, etc. (a subfolder named after your request keeps things tidy). You can also reply to your confirmation email with files attached.

Legal Disclaimers & Trigger Warnings (if applicable)

If a disclaimer or trigger warning is needed, describe the sensitive topics and the wording you'd like used.

Priority *

Urgent requests are subject to approval and may require expedited timelines or additional resources.

Is this part of an existing project? Tell us which.

Confirm Submission *

I understand changes after submission may affect delivery timing

I understand that changes or additional information provided after submission may cause delays and impact delivery timing.