MiCAMP Membership Form

Membership/Conference Enrollment Form

Upon receipt of this form , we will e-mail you (and/or fax) an invoice.  If you do not receive the invoice in 7 days, please e-mail webmaster@micamp.8m.net

Please provide the following contact information:

Name(First) check here if attending Conference!
Name(Last) *principal contact
Title

Organization   
Department
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
FAX
E-mail
Member Dues  MiCAMP membership is renewed on an annual basis.
Date 07/06/09
Other members of your organization you wish to receive MiCAMP Email:
Name check here if attending Conference!
Title
E-mail
Name check here if attending Conference!
Title
E-mail
Name check here if attending Conference!
Title
E-mail
Name check here if attending Conference!
Title
E-mail
    
Michigan Counties Association of Mapping Professionals
Revised: July 06, 2009