Employer Application
The
Company/Organization______________________________________________
Title______________________________________________________________
Address___________________________________________________________
Telephone_____________________________Fax_________________________
Company Website__________________________________________
As a partner, your company has access to the benefits of the MIBLN. For a detailed listing of benefits link to www.mibln.org.
Under 25 Employees……………...$100
26-100 Employees……………......$500
101-500 Employees………………$1000
Over 500 Employees……………...$1500
Method of Payment ____ Check Enclosed (made payable to MI BLN)
____ Please Invoice (include address if different from above)
Please return application to:
MI BLN
Bingham Farms, MI 48025
For questions, submit to director@mibln.org





