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MEMBERSHIP / RENEWAL APPLICATION 2016-2017 JUNE 1 2016 MAY 31 2017 Contact Information please mark any changes below Full Name Last First M. By signing below I understand that all MIPLA members must conform to the Rules of Professional Conduct of the State Bar of Michigan. Signature Date Please mail this form and payment PAYABLE TO MIPLA to BRENT G. SEITZ MIPLA HARNESS DICKEY PIERCE P. 00 st MIPLA s fiscal year runs June 1 through May 31. Annual dues are owed on June 1 of each year. MIPLA...
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What is contact information please mark?
Contact information includes a person's name, address, phone number, and email address.
Who is required to file contact information please mark?
Anyone who has an official role or responsibility within an organization may be required to file contact information.
How to fill out contact information please mark?
Contact information can be filled out on a form provided by the organization, or entered into an online system.
What is the purpose of contact information please mark?
The purpose of contact information is to provide a means of communication and identification for individuals within an organization.
What information must be reported on contact information please mark?
Contact information must include a person's name, address, phone number, and email address.
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