MIAM_Application

Mechanical Inspectors Association of Michigan
Active/Contributing/Sustaining Member

Membership Application

* Indicates required field

Name *

Registration # (if applicable) *

Community/Company *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone *

Fax *

Currently employed as a Mechanical Inspector? *

Yes No

Cell *

Submit

Annual Dues are $100.00. Pay on line here --> Membership & Dues