Membership Application form
Are you a returning MICS Member?
Membership is effective from January 1 to December 31 (Calendar Year).
• Annual Membership fee is $100. Lifetime membership fee is $1000
• Please make your check payable to: MICS
• MICS Tax ID # 85-2340112
• Please fill out the Form by printing all information in CAPITAL letters.
• You may email your completed Form to: email@example.com
• Please mail your completed Form and check to MICS Treasurer: Sanjay Shah, 123 Millstone Dr, Troy, MI
• Family Membership is limited to Applicant and Spouse including minor children (<18 yrs) only.
• Except new membership, yearly membership dues must be paid by March 31st of the current year to
gain privilege of voting member rights.