Please print this page from your web browser, fill out the form
below, and mail it to the address below with a check or money order made payable to "TI:ME".
TI:ME
3300 Washtenaw Ave., Ste 220
Ann Arbor MI 48104
| Select Your Membership Type: | ||
|
Individual | $40.00 |
|
Institutional/Commercial | $250.00 |
|
Student | $20.00 |
|
Library | $30.00 |
________________________________________________ Name ________________________________________________ Mailing Address ________________________________________________ City, State, Country, and Zip or Postal Code ________________________________________________ Phone (Daytime) (Evening) ________________________________________________ Fax ________________________________________________ e-mail (PLEASE PRINT CLEARLY.) ________________________________________________ School or Professional Affiliation ________________________________________________ Name of TI:ME member who referred you to TI:ME.
