Membership Form

Keep Michigan Beautiful, Inc.
INSTRUCTIONS:

STEP 1 - Please complete this Application & Renewal Form in its entirety

STEP 2 - Make check payable to Keep Michigan Beautiful

STEP 3 - Mail your dues payment to:

KMB Membership
Joanne Welihan
9085 Cordwood Trail
Cheboygan, MI 49721

*For questions or to request an IRS Form W-9, email Joanne Welihan at: jwelihan@gmail.com
MEMBERSHIP APPLICATION & RENEWAL FORM - 2024
New or Renewal Membership - Choose one:

NewRenewal
Giving Levels

Patron Society ($40 to $99)Mackinaw Bridge Society ($100 to $249)Capitol Society ($250 to $499)Pennisula Society ($500 to $999)Michigan Society ($1000 to $2499)Great Lakes Society ($2500 to $4999)Governor Society ($5000 and up)Lifetime Member ($500 and up)
Payment Method

CheckCredit Card
Type of Membership - Choose one:*

Business, Club or OrganizationIndividualMunicipality
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.
Email*
example@example.com
Required Minimum Payment

Payment*

USDEqual or greater than “Required Minimum Payment”

KMB, Inc. is an 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:

Keep Michigan Beautiful, Inc.