Join Michigan Equine Partnership

First Name:
Last Name:
Spouse First Name:
Spouse Last Name:
Email Address:
Farm Name:
Business/Organization:
Address:
City:
State:
Zip
Phone:
Cell Phone:
Fax:
I would like to serve as:	Out Reach Committee Fund Development Legislative and Policy Nomination Committee Executive Board Member Finance Committee Membership Committee
ANNUAL MEMBERSHIP OPPORTUNITIES: All Membership Opportunities Include Standard Promotional Premiums: Newsletter, Issue Alert, and Valuable Discount Coupons	$10.00 Student - Standard Membership Package $25.00 Single - Standard Membership Package $50.00 Family - Standard Membership Package $100.00 Bronze - Standard Membership Package Plus Bronze MEP Pin $250.00 Silver - Standard Membership Package Plus Silver MEP Pin and Limited Recognition at MEP Events $500.00 Gold - Standard Membership Package Plus Gold MEP Pin and Increased Recognition at MEP Events $100 - Association of Less than 50 Members - Standard Package $250.00 - Association of More than 50 Members - Standard Package

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