join

Join the Chronic Illness Coalition

The CIC is funded by member agency dues, and individual and corporate donations.

Membership Rates
Corporate Membership/For Profit Company: $100
Sole Proprietor Membership/For Profit Self Employed Company: $50
Non Profit: $30. Let us know if member sponsorship assistance is needed.
An Individual with no corporate affiliation: $15
Walk in: $5 per meeting.

Renewing deadline is January 15th of each year.

Benefits of Membership

website listing
networking
free booth at any C.I.C. Project: Insure the Uninsured event (based on available space)
Group rate discounted LTC Insurance
1 CEU per General Meeting for RNs
funding resources for your in-need clients
information resources

C.I.C. Individual and agency memberships are tax deductible and GREAT Networking Opportunities.

New memberships are prorated when joining mid year, please call for details.

If you are interested in joining or renewing membership to the Chronic Illness Coalition,
please complete the following and return with your check or money order made payable to:
Chronic Illness Coalition.   Mail to: 21311 Civic Center Dr. 2nd Floor, Southfield, MI 48075.

Thank you for your interest and support.

_____Corporate _____Self Employed _____Non-Profit _____Individual

Name of Business, Agency or Individual Name, (include professional affiliation i.e. RN MSW):

________________________________________________________________________

Address _________________________________________________________________

City____________________________   State: __________   ZIP: _________

If you are a Business or Agency, please indicate the name of representative(s) attending:
_______________________________________________________________________

_______________________________________________________________________

For Web Listing:

Website __________________________________________________________________

Brief one line description your business: ________________________________________

________________________________________________________________________

Phone ______________________________   Fax ________________________________

Email ______________________________ Type of Business: _____________________