Michigan
Industrial Hygiene Society
Membership Renewal Request Form
Membership dues
for the upcoming year are payable between September 1 - November
30 for current members. The MIHS Board has voted that a $5.00 late
fee will be applied for dues paid after December 1 (Note:
Dues paid prior to September 1 are for the current year only and
will be due again during the next dues period).
Please select
your membership status and provide the information at the bottom
of this form. Indicate your name and complete only those portions
of the form which have changed since the last membership year. Please
print the completed form for your records and mail a photocopy with
you remittance (see instructions below if using Pay Pal to pay
Online).
Cost
Membership
Description
of Membership Status
$50
Organizational
Company
published as sponsor in Membership Directory and Mini Conference Program
$25
Full
Member
in good standing with AIHA
$25
Associate
Any
person having a professional interest in Industrial Hygiene
$5
Student
Graduate
or undergraduate student enrolled in occupational or environmental
health studies. Persons employed full-time are not eligible for this
membership category regardless of their studies.
Offline
Membership Renewal Form
This
form is for those paying with a check. Please print the
completed form for your records and mail a photocopy with
you remittance (see instructions above if using Pay Pal
to pay Online). You will be notified upon acceptance of your
application.
Renewing
Members: Use this form to renew membership If you are renewing your membership complete this
short form. Please provide any new contact information or
changes in your membership status (new certifications, etc.)
as indicated on the form. If you are late paying dues
(after January 1st) >>Click
Here
