Membership

To download a Membership Application or Member Renewal form, click on the appropriate link below, print the form and mail it to the MIPA Membership Chair (the address is on the form).

 

Membership Application
Membership Application
Member Renewal Form
Member Renewal Form

All membership forms are in PDF format. To view them, you may need to download Adobe Reader, available through the link below:

Adobe Reader

Contact Info

Larry M. Friedberg, Ph.D. President 26111 W. 14 Mile Rd., Ste. 104
Franklin, Michigan 48025
Email: Send E-Mail

Phone: 248.626.4622
Fax: 248.626.2908

www.DrLarryFriedberg.com