1116 E. MT. HOPE AVE. LANSING, MI 48910 Phone 517-485-2184 Fax 313-531-0757
Application For Consumer Membership
I wish to apply for membership in the Michigan Monument Builders knowing that in order to qualify, I must abide by the organization's Code of Ethics.
NAME (PLEASE PRINT)__________________________________________
SIGNED _____________________________________________________
DATE___________________
STREET ADDRESS______________________________________________________________
CITY/STATE____________________________________________ZIP______________________
TELEPHONE:____________________FAX___________________EMAIL___________________
Have you previously been a member? ______NO ______YES 1st year of membership__________
Recommended by__________________________________________________________________
DO YOU HAVE ANY SPECIAL CONCERNS? __________________________________________________________________________________
__________________________________________________________________________________
Do you have a website? YES___ NO____ Web address _______________________________
DUES ARE PAYABLE IN ADVANCE First year dues $25.00 (July 1 – June 30)
Please send this application to the address listed above along with your dues.