Become a Member

Simply fill in and submit the form below to initiate the ITS Michigan membership process. ITS Michigan memberships run from January 1st - December 31st, so please be aware that membership payments cover membership for the duration of the membership year (not the calendar year). Thank you!


* Denotes a required field
First Name *   Last Name *
 
Organization
Address Line 1 *
Address Line 2
City *   State   Zip *
   
Country *
Phone *
Fax
Email *
Membership Options
 
 
 
 
 
 
Order Total
$
0.00
  
Credit Card Type *
Credit Card Number *
Credit Card Expiration Date *
SEC Code * (The 3-digit or 4-digit code on the back of your card. More info.)
Credit Card Billing Street Address *
Credit Card Billing Zip Code *