Membership Enrollment

Please complete all of the fields below. If you are purchasing a Gift Membership for someone, please complete the form below with the gift recipients information and provide your contact information in the Gift Membership section. Fields with an "*" are required.

For problems enrolling or paying online, e-mail info@scenicmichigan.org.

First name: *
Last name: *
Title:
Organization:
Address: *

City: *
State: *
Zip: *		(5-digit zip code only)
Daytime phone: *		xxx-xxx-xxxxx
Fax:		xxx-xxx-xxxxx
E-mail: *

Gift Membership Information

This section only needs to be completed if you are purchasing a gift membership for someone. Please provide your contact information.

Gift Purchaser: *
E-mail: *
Gift Note(s): (ex. Happy Holidays!)

Membership Type: *

The default membership type is "regular" and has been pre-selected for you, if you wish to enroll with a different membership type, you may do so below.

Individual Memberships

Regular ($35)

Gift Membership ($35)

Contributor ($50)

Donor ($100)

Sponsor ($250)

Landscape Guardian ($500)

Scenic Michiganian ($1,000)

Organizational Memberships

Michigan Garden Club Member initial membership ($25)
Name of Club:

Local or State Government Organization ($50)

Method of Payment: *

The default method of payment is credit card, if you prefer to pay by check please select the check option below.

Check (by mail)

Credit Card or PayPal (online)

Please take a moment to review the information you are about to submit and verify that required information (i.e., first name, last name, address,etc.) has been provided. Also check that the correct type of membership and method of payment are selected. Thank you!