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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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Contact information includes a person's name, address, phone number, and email address.
Anyone who has an official role or responsibility within an organization may be required to file contact information.
Contact information can be filled out on a form provided by the organization, or entered into an online system.
The purpose of contact information is to provide a means of communication and identification for individuals within an organization.
Contact information must include a person's name, address, phone number, and email address.
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