B
USINESS
M
EMBERSHIP
A
PPLICATION
M
ICHIGAN
B
USINESS
& P
ROFESSIONAL
A
SSOCIATION
M
ICHIGAN
F
OOD
& B
EVERAGE
A
SSOCIATION
27700 Hoover Road, Warren, MI 48093 • Phone: 888-277-6464 • Fax: 586-393-8810 • Website: www.michbusiness.org
Company NameRepresentative’s First Name
Web Site Address
Address 1
City
SIC Code/Industry
Last Name
E-mail (required)
Phone Fax (required)
State Zip # of Locations
Year Company Started # Employees - Full-time/Part-time
How would you like us to communicate with you? (check all that apply) Title
❏Fax ❏Mail ❏E-mail ❏Phone Is this a family owned business?
❏Yes ❏No
Tell us about your business and what services you provide. __________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ What type of clients/customers are you looking for?________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ What part of running your business is your greatest challenge or causes you the most pain? _____________________________________________________ ____________________________________________________________________________________________________________________________________
P
LEASE INDICATE YOUR DESIRED TYPE OF MEMBERSHIP.
M
EMBERSH
ELPINGM
EMBERS™Annual
Membership Dues:
Type of Pymt: ❏Check/Money Order payable to MBPA or MFBA ❏AmEx ❏VISA ❏MasterCard Card# _________________________________________
Name on Card ______________________________________ Exp. Date ________ Sec Code _______ Signature _____________________________________________ Type of Membership
1-Year 2-Year 3-Year 1-25 Employees ❏$140 ❏$190 ❏$235 26-100 Employees ❏$240 ❏$340 ❏$430 Corporate - 100+ Employees ❏$340 ❏$490 ❏$825
Three dollars of membership dues will apply to an annual subscription to Corp! the magazine dedicated to Michigan business. ❏Check here to be removed from circulation, remove $3 from above dues level.
Please check one: Date
❏
MBPA
❏
MFBA
❏Yes, we would like to receive this helpful resource listing of a few other members in our area twice a year at no charge. ❏Yes, we would like to join the MHM™ discount program at no charge.
* Products/services you are willing to discount to other members: __________________________________________________________________________ * Explain the discount you are willing to offer: ___________________________________________________________________________________________ ❏Yes, we have a special need, such as an asset for sale, job opening, product need, etc. Please explain what you would like to publicize to other members if space is available: __________________________________________________________________________________________________________________ ❏Yes, I’d like to sign-up for financial savings with: ❏ ❏ ❏ ❏Free Drug/Vision Discounts ❏Free Legal/Employment Hotline
Name___________________________________________________________________________________________________________________ Phone _________________________________________ Email __________________________________________________________________
Business Development (Sales, Marketing, Networking):
Name___________________________________________________________________________________________________________________ Phone _________________________________________ Email __________________________________________________________________ ❏I’m Interested in the following events, programs or services, please send more information on:
Business Knowledge
❏Benefits of hiring a veteran ❏Best Business Practices ❏Business Coaching ❏DTE Energy Consulting ❏Economic Business Pulse ❏Exclusive White Papers ❏Legislative Priorities
❏Restaurant Business Consulting ❏Small Business Healthcare ❏Statistics
❏Workshops - Symposiums
Facilitated Networking
❏101 Best and Brightest Companies to Work For ❏101 Best and Brightest Sustainable Companies ❏Facilitated Networking Packets and Blasts ❏Facilitator posting of Member Needs ❏Forum Discussions
❏Golf Outing
❏Members Helping Members Directory ❏Metro Detroit Youth Day
❏Monthly Networking Events
❏Social Media: Facebook, LinkedIn, Twitter
❏Women and Leadership in the Workplace Conference
Financial Savings
❏Cellular Discounts
❏Cobra Administration – Health Care Compliance ❏College Tuition Discounts
❏Comcast Business Class ❏Creative Solutions
❏Customized Credit Card Solutions
❏Employee Assistance Programs ❏Equipment Leasing
❏Exclusive WDIV – Click on Detroit Ad Discounts ❏Gasoline Rebates – Superfleet
❏Family Fun Discounts
❏FREE Discount Drug and Prescription Cards ❏Home and Commercial Mortgages
❏Human Resource and Business Law Hotline ❏Human Resources Consulting and Discounts ❏LegalShield
❏Life Insurance Needs
❏Merchant Credit Card Processing ❏Real Estate Listing Discounts ❏Rental Car Discounts
❏Staples Office Supply Discounts ❏Travel Discounts
❏Weight Watchers Discounts ❏Wellco Programs
Legislative Influence
❏Bottle Recycling and Sustainability ❏Estate Taxes
❏Healthcare Reform
❏Joining our Legislative Task Force ❏Legislative Receptions
❏Michigan Taxes ❏Tort Reform
Health Care Reform Connect™
❏Healthreformanswers@michbusiness.org email hotlink ❏Human Resouces and General Business Legal Hotlines ❏Compliance Tools and Business Resource Guides ❏Webinars and Workshops Related to Reform
B
USINESS
M
EMBERSHIP
A
PPLICATION
M
ICHIGAN
B
USINESS
& P
ROFESSIONAL
A
SSOCIATION
M
ICHIGAN
F
OOD
& B
EVERAGE
A
SSOCIATION
27700 Hoover Road, Warren, MI 48093 • Phone: 888-277-6464 • Fax: 586-393-8810 • Website: www.michbusiness.org
Company NameRepresentative’s First Name
Web Site Address
Address 1
City
SIC Code/Industry
Last Name
E-mail (required)
Phone Fax (required)
State Zip # of Locations
Year Company Started # Employees - Full-time/Part-time
How would you like us to communicate with you? (check all that apply) Title
❏Fax ❏Mail ❏E-mail ❏Phone Is this a family owned business?
❏Yes ❏No
Tell us about your business and what services you provide. __________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ What type of clients/customers are you looking for?________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ What part of running your business is your greatest challenge or causes you the most pain? _____________________________________________________ ____________________________________________________________________________________________________________________________________
Please check one: Date
❏
MBPA
❏
MFBA
M
EMBERR
EFERRALP
ROGRAMI
NFORMATIONBefore providing this membership application to other companies who you believe could benefit from MBPA/MFBA services, please fill-in the following information(Please print):
Member Company Name: ______________________________________________________________________________________________________________ Member Company MBPA or MFBA Membership #: ________________________________________________________________________________________ Member Company Contact Name: ________________________________________________________Phone: ________________________________________
P
LEASE INDICATE YOUR DESIRED TYPE OF MEMBERSHIP.
M
EMBERSH
ELPINGM
EMBERS™Annual
Membership Dues:
Type of Pymt: ❏Check/Money Order payable to MBPA or MFBA ❏AmEx ❏VISA ❏MasterCard Card# _________________________________________ Name on Card ______________________________________ Exp. Date ________ Sec Code _______ Signature _____________________________________________
Type of Membership
1-Year 2-Year 3-Year 1-25 Employees ❏$140 ❏$190 ❏$235 26-100 Employees ❏$240 ❏$340 ❏$430 Corporate - 100+ Employees ❏$340 ❏$490 ❏$825
Three dollars of membership dues will apply to an annual subscription to Corp! the magazine dedicated to Michigan business. ❏Check here to be removed from circulation, remove $3 from above dues level.
❏Yes, we would like to receive this helpful resource listing of a few other members in our area twice a year at no charge. ❏Yes, we would like to join the MHM™ discount program at no charge.
* Products/services you are willing to discount to other members: __________________________________________________________________________ * Explain the discount you are willing to offer: ___________________________________________________________________________________________ ❏Yes, we have a special need, such as an asset for sale, job opening, product need, etc. Please explain what you would like to publicize to other members if space is available: __________________________________________________________________________________________________________________ ❏Yes, I’d like to sign-up for financial savings with: ❏ ❏ ❏ ❏Free Drug/Vision Discounts ❏Free Legal/Employment Hotline
Name___________________________________________________________________________________________________________________ Phone _________________________________________ Email __________________________________________________________________
Business Development (Sales, Marketing, Networking):
Name___________________________________________________________________________________________________________________ Phone _________________________________________ Email __________________________________________________________________ ❏I’m Interested in the following events, programs or services, please send more information on:
Business Knowledge
❏Benefits of hiring a veteran ❏Best Business Practices ❏Business Coaching ❏DTE Energy Consulting ❏Economic Business Pulse ❏Exclusive White Papers ❏Legislative Priorities
❏Restaurant Business Consulting ❏Small Business Healthcare ❏Statistics
❏Workshops - Symposiums
Facilitated Networking
❏101 Best and Brightest Companies to Work For ❏101 Best and Brightest Sustainable Companies ❏Facilitated Networking Packets and Blasts ❏Facilitator posting of Member Needs ❏Forum Discussions
❏Golf Outing
❏Members Helping Members Directory ❏Metro Detroit Youth Day
❏Monthly Networking Events
❏Social Media: Facebook, LinkedIn, Twitter
❏Women and Leadership in the Workplace Conference
Financial Savings
❏Cellular Discounts
❏Cobra Administration – Health Care Compliance ❏College Tuition Discounts
❏Comcast Business Class ❏Creative Solutions
❏Customized Credit Card Solutions
❏Employee Assistance Programs ❏Equipment Leasing
❏Exclusive WDIV – Click on Detroit Ad Discounts ❏Gasoline Rebates – Superfleet
❏Family Fun Discounts
❏FREE Discount Drug and Prescription Cards ❏Home and Commercial Mortgages
❏Human Resource and Business Law Hotline ❏Human Resources Consulting and Discounts ❏LegalShield
❏Life Insurance Needs
❏Merchant Credit Card Processing ❏Real Estate Listing Discounts ❏Rental Car Discounts
❏Staples Office Supply Discounts ❏Travel Discounts
❏Weight Watchers Discounts ❏Wellco Programs
Legislative Influence
❏Bottle Recycling and Sustainability ❏Estate Taxes
❏Healthcare Reform
❏Joining our Legislative Task Force ❏Legislative Receptions
❏Michigan Taxes ❏Tort Reform
Health Care Reform Connect™
❏Healthreformanswers@michbusiness.org email hotlink ❏Human Resouces and General Business Legal Hotlines ❏Compliance Tools and Business Resource Guides ❏Webinars and Workshops Related to Reform
B
USINESS
M
EMBERSHIP
A
PPLICATION
M
ICHIGAN
B
USINESS
& P
ROFESSIONAL
A
SSOCIATION
M
ICHIGAN
F
OOD
& B
EVERAGE
A
SSOCIATION
M
EMBERSH
ELPINGM
EMBERS™❏Yes, we would like to receive this helpful resource listing of a few other members in our area twice a year at no charge. ❏Yes, we would like to join the MHM™ discount program at no charge.
* Products/services you are willing to discount to other members: __________________________________________________________________________ * Explain the discount you are willing to offer: ___________________________________________________________________________________________ ❏Yes, we have a special need, such as an asset for sale, job opening, product need, etc. Please explain what you would like to publicize to other members if space is available: __________________________________________________________________________________________________________________ ❏Yes, I’d like to sign-up for financial savings with: ❏ ❏ ❏ ❏Free Drug/Vision Discounts ❏Free Legal/Employment Hotline
Company Name
Representative’s First Name
Web Site Address
Address 1
City
SIC Code/Industry
Last Name
E-mail (required)
Phone Fax (required)
State Zip # of Locations
Year Company Started # Employees - Full-time/Part-time
How would you like us to communicate with you? (check all that apply) Title
❏Fax ❏Mail ❏E-mail ❏Phone Is this a family owned business?
❏Yes ❏No
Tell us about your business and what services you provide. __________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ What type of clients/customers are you looking for?________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ What part of running your business is your greatest challenge or causes you the most pain? _____________________________________________________ ____________________________________________________________________________________________________________________________________
M
ICHIGANB
USINESS& P
ROFESSIONALA
SSOCIATION• M
ICHIGANF
OOD& B
EVERAGEA
SSOCIATION27700 Hoover Road, Warren, MI 48093 • Phone: 888-277-6464 • Fax: 586-393-8810 • Website: www.michbusiness.org
Please check one: Date
❏
MBPA
❏
MFBA
P
LEASE INDICATE YOUR DESIRED TYPE OF MEMBERSHIP.
AnnualMembership Dues:
Type of Membership
1-Year 2-Year 3-Year 1-25 Employees ❏$140 ❏$190 ❏$235 26-100 Employees ❏$240 ❏$340 ❏$430 Corporate - 100+ Employees ❏$340 ❏$490 ❏$825
Three dollars of membership dues will apply to an annual subscription to Corp! the magazine dedicated to Michigan business. ❏Check here to be removed from circulation, remove $3 from above dues level.
Type of Pymt: ❏TradeFirst Dollars (Can only be used for new members for the first year of membership)
❏Check/Money Order payable to MBPA or MFBA ❏AmEx ❏VISA ❏MC Card# ___________________________________________ Name on Card ______________________________________ Exp. Date ________ Sec Code _______ Signature _____________________________________________ TradeFirst Acct. Name ________________________________________________ TradeFirst Acct.# __________________________________________________________
Name___________________________________________________________________________________________________________________ Phone _________________________________________ Email __________________________________________________________________
Business Development (Sales, Marketing, Networking):
Name___________________________________________________________________________________________________________________ Phone _________________________________________ Email __________________________________________________________________ ❏I’m Interested in the following events, programs or services, please send more information on:
Business Knowledge
❏Benefits of hiring a veteran ❏Best Business Practices ❏Business Coaching ❏DTE Energy Consulting ❏Economic Business Pulse ❏Exclusive White Papers ❏Legislative Priorities
❏Restaurant Business Consulting ❏Small Business Healthcare ❏Statistics
❏Workshops - Symposiums
Facilitated Networking
❏101 Best and Brightest Companies to Work For ❏101 Best and Brightest Sustainable Companies ❏Facilitated Networking Packets and Blasts ❏Facilitator posting of Member Needs ❏Forum Discussions
❏Golf Outing
❏Members Helping Members Directory ❏Metro Detroit Youth Day
❏Monthly Networking Events
❏Social Media: Facebook, LinkedIn, Twitter
❏Women and Leadership in the Workplace Conference
Financial Savings
❏Cellular Discounts
❏Cobra Administration – Health Care Compliance ❏College Tuition Discounts
❏Comcast Business Class ❏Creative Solutions
❏Customized Credit Card Solutions
❏Employee Assistance Programs ❏Equipment Leasing
❏Exclusive WDIV – Click on Detroit Ad Discounts ❏Gasoline Rebates – Superfleet
❏Family Fun Discounts
❏FREE Discount Drug and Prescription Cards ❏Home and Commercial Mortgages
❏Human Resource and Business Law Hotline ❏Human Resources Consulting and Discounts ❏LegalShield
❏Life Insurance Needs
❏Merchant Credit Card Processing ❏Real Estate Listing Discounts ❏Rental Car Discounts
❏Staples Office Supply Discounts ❏Travel Discounts
❏Weight Watchers Discounts ❏Wellco Programs
Legislative Influence
❏Bottle Recycling and Sustainability ❏Estate Taxes
❏Healthcare Reform
❏Joining our Legislative Task Force ❏Legislative Receptions
❏Michigan Taxes ❏Tort Reform
Health Care Reform Connect™
❏Healthreformanswers@michbusiness.org email hotlink ❏Human Resouces and General Business Legal Hotlines ❏Compliance Tools and Business Resource Guides ❏Webinars and Workshops Related to Reform