Membership Sign Up Form


Membership is $12 per year. To become a member send a filled in application with check or money order to:


Mid-Michigan Marine Club:
708 Lehigh Drive
Dewitt, MI 48820


You can pay your annual dues by check, money order or through Paypal using our direct secured link to Paypal (You will need to fill in the total on the paypal form, membership is $12/year.)


Name:
Address:
City:
State/Zip:
Telephone:
E-Mail Address:
Michigan Reefers MASM Screen Name:
Where did you hear about us?
Interested in keeping the following? Fish Coral Both
How long have you been in the hobby? 2 years or less 2-5 years 5+ years
How many marine aquariums do you own? 1 2 3 or more
Are you interested in working on a committee? Yes No Maybe, need more information

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