MICCS

Click here for more information

MICCS Membership Application

Company Name
Mailing Address
City
State
Zip
Telephone
Fax
Web Address
Primary Contact
Email Address
Company CEO
Email Address
Safety Director
Email Address
Please identify three objectives you want to accomplish and/or three benefits you expect to derive from your membership in MICCS.

Add To MICCS Mailing List
(if any, please check here, and list names below. Thank You.)

Membership Categories

Contractor/Construction Manager

Construction User/Owner

Construction Affiliate*

*(includes design professionals, material and service suppliers, insurance, legal, accounting and other affiliated industries)

Membership Mailings

Indianapolis Area Member:

also wants to receive Lafayette Council mailings
does not want to receive Lafayette Council mailings

Lafayette Council Member (will receive all MICCS information)

Membership Dues

Contractor/Construction Manager = $600

Construction User/Owner = $600

Construction Affiliate = $300

You will be INVOICED for this membership.
If you would prefer to print the application and send a check, Please follow this link.

Note: Membership payments are deductible by businesses working within the construction industry
as an ordinary business expense under Internal Revenue Code Section 162.

Metro Indianapolis Coalition for Construction Safety

MICCS Membership Application