MICCS Membership Application

Name of Company
Mailing Address
City
 State Zip
Telephone
 Fax

Web Address

Primary Contact
Email Address
Company CEO
Email Address

Safety Director (if any)

Email Address
Please identify three objectives you want to accomplish and/or three benefits you expect to derive from your membership in MICCS.

Want Others On MICCS Mailing List
(if any, please check here, and list names to the right. 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.