GLREA: Business Memberships Registration Form

Business Memberships
Online Registration Form

	Basic Yearly Membership Benefits: (Pioneer and Small Business Levels) Listed on Website as a member Listing in Membership Directory (reaches over 1,500 businesses and homes) Opportunities to Advertise in GLREA Newsletter Special Exhibitor and Sponsor rates for GLREA Events such as the Michigan Energy Fair Receive certificate of appreciation to recognize your gift
Silver Business Membership Benefits: Receive basic business member benefits Receive a 1/4 page ad in the GLREA annual directory Corporate Business Membership Benefits: Receive silver business member benefits Receive a 1/2 page ad in the GLREA annual directory Post your logo on the GLREA website with a link to your homepage

To Purchase a one year Business Membership, please fill out the form below
This is a: New Membership Renewal Membership
Select Membership Level: Pioneer Business Membership ($100) Small Business Membership ($500) Silver Business Membership ($1,000) Corporate Business Membership ($2,000)

Title:
Name:
Job Title:
Company/ Organization:
E-Mail:
Address:
Address 2:
City:
State/Province:
Zip Code:
Country:
Home Phone:
Business Phone:
Fax:
Website URL:
Description of Primary Business Activity:

Category:
I would like to volunteer: Yes No If yes, please type phone number and best time to call: