2008 M.A.H.O. MEMBERSHIP APPLICATION
Please complete the following information and mail this form along with your check or money order (payable to M.A.H.O.) to:
Paul Winters
City of Ann Arbor
Code Enforcement
100 N. Ffith Ave.
Ann Arbor, MI 48107-8647
Questions: About Registration....Paul
Winters 734-994-2706
About Program…...…Howard Asch 517-319-6857
M.A.H.O. Membership Number: ___________ or New Member _______
NAME: _________________________________________________________
TITLE: __________________ _______________________________________
REPRESENTING/JURISDICTION: ______________________________________
PREFERRED MAILING ADDRESS: ______________________________________
____________________________________________________________________
PHONE: ( ) _____________________ FAX: ( ) ____________________
EMAIL (Please write clearly): ____________________________________________
TYPE OF MEMBERSHIP:
q Principal - $25.00 (e.g. Persons actively involved in Municipal Inspection or Code Enforcement
q Associate - $25.00 (e.g. Private Inspectors, Builders, Rehab/Home Improvement Specialists, Community Development Staff)
q Municipal Institutional Memberships for groups of 5 or more - $25.00 for each of the first five members and $2.00 for each additional member. (To be eligible for this reduced rate structure, all institutional membership forms must be submitted together.)
****Reminder: Use this form ONLY if you are attending a seminar.****