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Please copy this form, complete it, and send it along with $30 check to:     

Membership Information (will be used for Directory listing) 
Name ___________________________________________________________________________________________

Title ____________________________________________________________________________________________

Organization/Agency ______________________________________________________________________________

Address________________________________________________________________________________________

City__________________________________________________State________________ZIP_________________

Telephone ( ____ ) ________________ Fax ( ____ ) ________________ E-Mail _________________________

Primary area of interest _______________________________________________________________________

Area of Expertise_________________________________________________________________________________

Signature ____________________________________ CPAM is a registered non-profit Michigan corporation

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