Information Update

Member Information Update

Please update my information with the new information I am providing below. If you want to register for a meeting, please use this form.

Registrant Information

First:

Last:

Email:

Rank:

Address:

Address (2):

Address (3):

City:

State:

Zip/Postal Code:

Phone:

School/Company:

National ASM Member?

National ASM Member #

Volunteer
		Please contact me about becoming a corporate sponsor.
		Please contact me about serving on the MI-ASM Board.
		I would like information about serving as a volunteer for MI Branch of ASM.

Special Needs/Comments?

Questions or suggestions concerning website, contact geiser@mi-asm.org

Last updated: January 18, 2012