Michigan Nonprofit Association

New Membership Application

To join and pay online, complete and submit the application form below.

To pay by check please download and complete the appropiate form:

MNA Membership Registration Form

* Required field

Prefix:*
First Name:*
Middle Initial:
Last Name:*
Suffix:
Title:*
Organization:*
Department:
Address1:*
Address2:
City:*
State:*
Zip:*
County:*
Phone:*	eg. (555) 555-5454
Fax:	eg. (555) 555-5454
E-mail:*
Web Site:
Tax Exempt 501(c)3:
Tax Exempt 501(c)4:
Tax ID
Access Information
Please enter an organization username and password so you, your staff and board members can access the "members only" features of the website. You will also need to use this information when renewing your membership or making purchase online.
Username:*
Password must be at least 4 characters long and consist of a combination of numbers and letters.
Password:*
Re-enter Password:*

For Nonprofit Organizations:

Annual Operating Budget up to $100,000 $100,001-250,000 $250,001-500,000 $500,001-750,000 $750,001-1 million $1 million-2 million $2 million-4 million $4 million +	Annual Dues $80 $160 $270 $370 $480 $580 $790 $1,100
For Consultant and Business Membership:
Individual Consultant Consulting Firm/Partnerships Corporations	$250 $500 $1,000

Nonprofit please select your annual operating budget:

Consultant and Business please select category:

*Annual Dues amount based on nonprofit budget or consultant/business category above: $

Select your business region(s):
(Hold control to select multiple items)

Select your business type(s):
(Hold control to select multiple items)