MEMBERSHIP | Muskegon WIN PAC

BECOME A MEMBER

NOTE: If you are Retired please enter RETIRED for all employer questions.

Membership Dues:

$5.00 /yr. for Students

$10.00 /yr. for Seniors

$25.00 /yr. for 'General membership'

$75, $100, $250 or $500 /yr. to become a 'Supporting Member'

First Name

Last Name

Street Address

City

Postal / Zip code

Region/State/Province

Country

Phone

Your Occupation/Title

Employer Name

Employer Address

Select A Membership Level

Student Membership - $5

Senior Membership - $10

General Membership - $25

Supporting Membership Bronze - $75

Supporting Membership Silver - $100

Supporting Membership Gold - $250

Supporting Membership Platinum - $500

Thank You for becoming a MuskegonWIN member...We are excited and look forward to working with you!!