Become a member

To view the MiHCC membership guidelines: Membership Packet PDF.

 

MiHCC MEMBERSHIP INQUIRY FORM:

All fields are required

Individual Information

Organization Information

Primary Contact Information

(if different from Individual Member Information)

* Please note regardless of the choice indicated certain member information may be included as required for governmental filings.

Certification

(To be signed by the Chief Executive Officer or his/her designee)