New Join Michigan EIBC Company/Organization Name* Street Address* City* State* Zip/Postal* Website Business Sectors* Advanced Materials Batteries & Energy Storage Biomass & Biofuels Combined Heat & Power Community Development Consulting Demand Response Electric Vehicles & Mobility Energy Efficiency Geothermal Law Lighting Lobbying & Advocacy Performance Contracting Purchasers of Renewable Energy Smart Grid & Grid Optimization Solar Wind Logo (high resolution)*Accepted file types: jpg, jpeg, png, gif.Company/Organization Description (for website & newsletter)*How did you find out about us / referred / recommended by*EIBC websiteSocial mediaReferral from another companyEIBC newsletterReferral from a policy makerReferral from another trade organizationPlease tell us the name of the individual/group that referred youContact InfoPrimary Contact Name* Primary Contact Title* Primary Contact Email* Primary Contact Phone*Who else from your company/organization should receive member-only communications? Please provide their name, title, email address, and phone number.Who else from your company/organization should receive member-only communications? Please provide their name, title, email address, and phone number.NameTitleEmailPhone Number First-Year Introductory Member Rate* Price: First-Year Introductory Member Rate* Price: *After the first year, member dues will be based on the chart below Yearly Revenue from Business ActivitiesAnnual Member Dues*< $750K$750$750k - $2.5M$1150$2.5M - $5M$1500$5M - $15M$2000$15M - $50M$2500$50M - $100M$3000$100M - $200M$3500> $200M$4000* New members will receive a first-year introductory membership rate of $500. After the first year, membership dues will be based on the table above. Dues payment method:* Credit Card Check HiddenCredit Card PaymentBilling Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit CardCard Details Cardholder Name Fifteen percent (15%) of dues payments goes towards lobbying and advocacy activities and are not, therefore, tax deductible as an ordinary business expense.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.