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