MarineLife Aquarium Society of Michigan
Membership Form

Yearly membership fees are $20.00 for individuals and members can then add family members over 16 years old at $5.00 for each member that will be involved in the club. Family members under 16 are free.

Print this form and circle the amount for the month you join (this is what you pay for initial membership) in the appropriate column and complete the following information:

Name :____________________________________________________________________

Area Code ___________ Phone Number _________________________________________

Address  __________________________________________________________________

City  _______________________________________________ Zip ___________________

E-mail ____________________________________________________________________

For our interests...

Are you mainly interested in keeping Corals or Fish? __________________________________

How long have you been in the hobby? ____________________________________________

How many marine aquariums do you own? _________________________________________

Where did you hear about our Society?  ___________________________________________

Send filled-in application with check or money order to:
MASM Membership, P.O. Box 685,Bloomfield Hills, MI  48303-685. 
For further information about the society write to the above address or send email to Jarrod Hermann