HomeGet InvolvedBecome a MemberMCAH Membership Form
Membership Application
At MCAH, we value your commitment to our organization. We also know you value your privacy. We guarantee that we will not sell, distribute, or in any other way use your personal information for gain. We will only use the information you give us for acknowledgements, billing purposes, and member identification. Your confidentiality is our policy.
Applicant First Name (*)
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Applicant Last Name (*)
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Organization/Affiliation
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Street Address Line 1 (*)
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Street Address Line 2
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City (*)
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State (*)
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Zip/Postal Code (*)
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County (*)
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Phone (*)
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Email Address (*)
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May we acknowledge you? (*)

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Would you like to subscribe to any newsletters?


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Would you be interested in serving on a MCAH committee? (*)

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Category/Level of Membership and Payment
Individual Membership Categories
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Non-Profit or Government Agency Membership Categories
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For-Profit Agency or Business Membership Categories
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Additional Donation
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Total 0.00 USD
Captcha (*) Captcha
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                     Michigan Coalition Against Homelessness  |  15851 S.Old U.S. 27, Building 30, Suite 315 Lansing, MI 48906  |  Phone:  (517) 485-6536  |  Fax:  (517) 485-6682