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 MEMBERSHIP APPLICATION
Affiliate Number and Name: #04-170 ISM - Southeast Michigan
City/State: St. Clair Shores, MI
Phone: (313) 881-0800 Fax: (313) 881-4952
First Year Dues: $290 with meals. This includes a one-time
$20.00 administrative fee plus any applicable initiation fees. Meals are included with the dates.
Meeting Scheduled: Generally, the 3rd Thursday of the month. See our Event Calendar for details.
* Denotes Required Fields
APPLICANT
   
First Name* Middle Initial
 Last Name*
Nickname (for badges)
MEMBERSHIP STATUS
Transfer From: Replacing Curent ISM-SEM Member
Referred by:
ISM: Name:
 
BUSINESS/COMPANY INFORMATION
Company Name*  Job Title*
Address*  Internal Mail Code
City*  State*
County  Zipcode*
Country  E-Mail*
Business Phone*  Phone Extension
Business Fax    
Are you involved in selling? * No Yes (Less than 50%) Yes (More than 50%)
Are you currently a (check for YES): C.P.M CPSM
HOME ADDRESS
Address  Address2
City  State
County  Zipcode
Country  Home Phone
Perferred Mail Address? * Business Home
Address Used in Directory/Roster? * Business Home None
Please select the 3-digit industry (NAICS) code that best represents your organization. If you have responsibility for more than one industry, please select one code that represents the major activity of your organization.*
 
PAYMENT INFORMATION
Rate Below include a one time first year $20.00 administrative charge.
Renewal rates are lower. For special rates for associate membership or full time students,
contact the Business Office at (313) 881-0800.
Dues Schedule*
Payment Method*
CC Number*
Name on Card*
Billing Address*
Billing City*
Billing State*
Billing Zip*
CC Expiration* /

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ISM - Southeast Michigan is an affiliate of the Institute for Supply Management (ISM). ISM has approximately 180 affiliated associations across the United States. Regular members of ISM - Southeast Michigan are also members of ISM, and as such are entitled to the full benefits of belonging to both associations. 3-4 weeks after your application is approved you will receive a membership card from ISM, with your membership number.

For more information or to request an application contact our Business Office at: 313-881-0800 or FAX to 313-881-4952. Or you can contact us via email at: businessmanager@ism-sem.org.

 

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special announcement

Congratulations to our newly elected and appointed Board of Directors!

President: David Rodriguez
Vice President: Lori Sisk
Treasurer: Colleen Lang
and Directors:
Kristen Bennett
Pam Smith
Michele Thompson
Joel Weina
Bob White

and thanks to
Melissa Countryman our Immediate Past President

© Copyright 2017 Institute for Supply Management - Southeast Michigan, Inc. All Rights Reserved.
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