BCSEM Membership Form

Beautification Council of Southeastern Michigan MEMBERSHIP APPLICATION & RENEWAL FORM - 2026
NewRenewal
Business, Club or Organization - $25Individual - $25Municipality - $25
Name of Municipality or Organization
Name of Beautification Commission / Committee
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com

BCSEM Annual Membership

$25.00

Credit Card Processing Fee

$1.06

Total

$0.00

Credit Card

Apple Pay

Google Pay

BCSEM id sn IRS-approved 501(c)(3) Tax-Exempt Organization, and a Michigan Non-Profit Corporation.
100% of your contribution is tax deductible as allowed by law.
Should be Empty:

Beautification Council of Southeastern Michigan MEMBERSHIP APPLICATION & RENEWAL FORM - 2026