MEMBERSHIP OPTIONS

Individual Membership (Voting)
1. Pay non-refundable dues of $75.00 per year.  The year is January 1 through December 31.
2. Accept and agree to further the Mission and Goals of BISC-MI.
3. Must file a completed Membership application with the chair of the Membership Committee.
4. Receive the right to vote at general membership meetings.
5. May attend BISC-MI Board meetings, regional BISC-MI meetings, and participate in BISC-MI Committees.
6. Receive discounts on BISC-MI's conferences and trainings.

Organizational Membership (Non-Voting)
1. Pay non-refundable dues of $120.00 per year. The year is January 1 through December 31. 
2. Dues are waived for a Domestic Violence Survivor's Services Organization (DVSSO) to encourage them to participate in BISC-MI.  A DVSSO is defined as "an organization whose only purpose is providing victim services and who does not have a batterer intervention program."  Membership is renewed annually via written communication. 
3. Organization accepts and agrees to further the Mission and Goals of BISC-MI.
4. An organization may send any number of affiliated staff to BISC-MI's conferences and fall trainings at membership discount.
Name:
Organization
Check the box if this organization is a Batterer Intervention Program
Program Name:
Address:
City:
State/Prov:
Country:
Zip/Post. code:
Phone:
Fax:
E-mail:
I am applying for the following Membership Option:
Check this box if this if for an Individual Membership (cost $75.00)
Check this box if this if for an Organizational Membership (cost $120.00)
Check this box if this if for a DVSSO Membership (cost $0.00)
Method of Payment
Check mailed to BISC-MI Visa MasterCard
Credit Card #:
Exp. date:
Payment Amount Authorized:
Please check one below:
Yes, I agree to BISC-MI's right to publicly recognize member participation and contributions to the organization: 
No, I do not agree to BISC-MI's right to publicly recognize member participation and contributions to the organization: