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 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)*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 will show once membership type is selected...First-Year Introductory Member Rate* Price: 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 (invoice will be emailed) 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.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.