Membership Application

Have an account? Click here to log in...

Click here for more about which membership fits you.

Membership:

Executive Membership ($500) - Enhanced benefits for increased visibility and access

Professional Membership ($150) - Standard membership

Associate Membership ($75) - Retired or in transition

Friend Membership ($50) - For those who live more than 50 miles from Grand Rapids or Detroit

Student Membership ($20) - Full-time students currently enrolled in a college or university

Professional Membership for employees of platinum corporate investors ($100)

Region

Southeast Michigan

West Michigan

Rest of USA

International

Create a Login Name: Login Password: Retype Password: Prefix: First Name: Middle/Initial: Last Name: Suffix: Title: Company: Address Type: Address: City: State: Country: Zip Code: - Address 2 Type: Address: City: State: Country: Zip Code: - Phone: Type: Phone 2: Type: Phone 3: Type: Email: Email 2:

Optional Information

Referred By: Occupation: Expertise: Ethnicity: Gender: Year of Birth:

Prior to 1944

1944-1953

1954-1963

1964-1973

1974-1983

1984-1993

1994-2003

2004-2013

Other

Social Media

LinkedIn Facebook Twitter

Student Members ONLY

Student Membership is available for full-time students currently enrolled at a university or college.

University or College: Degree or Area of Study: Expected Graduation Date:

Executive Members ONLY

Executive Members receive additional visibility and recognization. Please complete the questions below.

Web Site: Business Mission Educational Background Memberships, Board Positions, Etc. Her Personal Side Most People Don't Know Something You Should Know Words of Wisdom

Communications

Please indicate below what programs and initaitves you would like to receive communications about.

Region:

Southeast Michigan

West Michigan

Virtual

Neon CRM by Neon One