After completing this from you will see a paypal button to complete your payment. Please choose the appropriate amount from the dropdown ($10 - Individuals; $50 Buisnesses/Organizations) to finalize your membership. Name Title Company Name (if business membership) Address Email * Website Corporate Logo Yes, My Company is interested in having our corporate logo and brief description on the FACC-Upper Michigan website. Please contact me for details FACC-Upper Michigan does not distribute membership information to third parties. In order to maximize network benefits, you membership information may be published in a FACC-Upper Michigan member directory or shared with the other FACC Chapters in the USA. Please check the following if you do not consent to this: Keep Private No, I would like my information kept private Signature * Type your name again as your digital signature. Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Leave this field blank
