New Join Michigan EIBC Membership Type* Company / Organization Member Trade Organization Member 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 and Air Source Heat Pumps Law Lighting Lobbying & Advocacy Performance Contracting Purchasers of Renewable Energy Smart Grid & Grid Optimization Solar Wind Logo (high resolution: 300 dpi required)*Accepted file types: jpg, jpeg, png, gif.Company/Organization Description (for website & newsletter, maximum 700 characters)*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 Mobile PhonePrimary Contact Work Phone*Who else from your company/organization should receive member-only communications and event invites? Please provide their name, title, email address, and phone number.Who else from your company/organization should receive member-only communications and event invites? Please provide their name, title, email address, and phone number.NameTitleEmailPhone Number First-Year Introductory Member Rate* Price: First-Year Introductory Member Rate* Price: First-Year Introductory Member Rate* Price: Dues payment method:* Credit Card Check (invoice will be emailed) 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$4000Trade Organization Member(national or regional)$5000* New members (except Trade Organization Members) will receive a first-year introductory membership rate of $500. After the first year, membership dues will be based on the table above.HiddenCredit Card PaymentBilling Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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.Please verify that you are humanCommentsThis field is for validation purposes and should be left unchanged.