Northwest Michigan Industrial Association - General Membership Application

Requirements
Must be a manufacturer in one of the following counties; Antrim, Charlevoix, Cheboygan, Emmet, Grand Traverse, Kalkaska, or Otsego. Each company has one vote.

General Membership Application
* indicates required fields
Company Name:	*
Mailing Address:	*
Street Address:	*
City:	*** State: * Zip Code: ***
Phone:	*
Fax:
Website:
Product(s):	*
Number of Employees:	*
Facilities Available:
	*Name*	*Title*	*Email*
Company Contacts:	*	*

Please submit your company logo via email to .

Membership fees are $125.00 per company, per year.
Membership renewals are due January 15th, 2008. Renewals received after January 15th, 2008 may not be included in the current hard printed directory.

Make checks payable to:
Northwest Michigan Industrial Association

Mail checks to:
Steve Emerson, Administrator
Northwest Michigan Industrial Association
P.O. Box 2452
Petoskey, Michigan 49770

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