2024 Membership Form

2024 Membership

Any person, firm or corporation either directly engaged of having a mutual interest in Michigan’s poultry industry is eligible to become a member.
Primary Contact Information
Company or Organization Name*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone (if applicable)
Please enter a valid phone number.
Primary Contact*

First NameLast Name
Primary Contact Title*
Primary Contact Phone*
Please enter a valid phone number.
Primary Contact Email*
example@example.com

Additional Contacts

Our newsletter and notifications are distributed by email only.
Check here if your information is the same as last year
Please list any additional individuals within your organization that would benefit from being on the MAPI distribution list. If you don't have anyone to add, click next.

2024 Membership