Michigan Mason Contractors Association

Application for Membership

You may complete then print the information requested below and mail with your check for $200. We also accept credit cards; if you would like to submit your application via the internet, we will contact you for your credit card information.

Company Name:

Web Site:

Mailing Address:

City, State, Zip:

Phone: Fax:

Name: Title:

Email Address:

Dues billed during your first year of membership will be at the rate of $17.00 per month. Upon receipt of your dues, your company information will be added to our website.

Michigan Mason Contractors Association
P.O. Box 564, Hartland, MI 48353-0564
(231) 463-4572    Fax (248) 714-6504

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