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Membership Application

     

     

    Name: ____________________________________________________________________________

                      Last                                               First                                                      MI

     

    Org. or Employer: ________________________________________________________

     

    Job Title:_______________________________________________________________________

     

    Address:____________________________________________________________________

                      Street#/PO Box                                                                                            

    City: ______________________________________                                       

    State: ____________________________________

    Zip:____________________                                 

    Phone #:__________________________           Fax #: _______________________

     

    Email: ______________________________________________________

     

    Are you currently a member of SHRM: _____ Yes  _____ No 

    SHRM #: ___________________

     

    Please send completed application form, along with a check for:

    • Individual Membership $50.00            ______

    Send Completed Form and Check to:

    Southwest MI SHRM

    P.O. Box 751

    St. Joseph, MI 49085

    Attn: Membership Committee

     

    As a member of SWMI SHRM, I will uphold its purpose and Code of Ethics:

     

    Signature: _________________________________ Date: ________________

     

    Is this a new Member Application or a Renewal Application: _______