To become a member, please submit the following information:
Personal Information
*
= Required
*
Name:
Title:
*
Company:
*
Address:
*
City:
*
State:
*
Zip Code:
*
E-mail:
*
Phone No.:
Membership Type
*
Please select a membership type
*
(
see descriptions of membership categories
)
Stakeholder Member ($500)
Corporate Member ($275)
Ann Arbor Chamber Member & Renewing Corporate Member ($250)
Ann Arbor Chamber Member & First-Time Corporate Member ($137.50)
Individual/Small Business Member ($100)
Ann Arbor Chamber Member & Renewing Individual/Small Business Member ($75)
Ann Arbor Chamber Member & First-Time Individual/Small Business Member ($50)
Student Member ($50)
School Name:
(Please indicate your school name if your membership type is "Student.")
Payment Information
*
Please select a payment method
*
Online (Paypal)
By Check
Please send the check to:
Lindsay McCarthy
New Enterprise Forum
115 West Huron Street, 3rd Floor
Ann Arbor, MI 48104