Michiana APICS Chapter Member
Mail Notification Request
Receive notice of all New or Upcoming Events via E-mail.   If Name and ID not found, entry will be ignored.
  Yes  No   I'd like to be contacted on membership if not a member?
Yes I'd like to receive e-mail notices. No, I'd like to discontinue receiving e-mail notices
Member ID: What Chapter:
E-mail:     This is a Personal   or Work email address?
First Name:    Last Name:  (as appears on membership)
Title:    Organization: 
Address:    Address (con't):
City:    State, Zip:  Zip +4 if at all possible, please
Phone-Work : Home:   Fax:
Are you currently a Company Coordinator?   Yes No  I'd like to become one
Comments?: