Information Update Form
 

 

 

If you know your MiSHE ID, place that number in the MisheID box. If you don't know, leave the box with a zero or blank. Enter only the information you want available to other MiSHE members. Both Professional and Associate members have access to the Member Database.

Click here to Pay Dues. Select your Chapter for the correct dues amount.

MisheID
 

Regional Chapter (Use only two letters: UP=Upper Peninsula, NC=North Central, EC=East Central, WM=West Michigan, SE=South East)
 

First Name
 

Middle Name
 

Last Name
 

Suffix (Enter any certifications or license designations: PE, CHFM, etc.)
 

Nickname
 

Title
 

Work Email
 

Facility
 

PO Box
 

Address
 

City
 

State
 

Zip (Enter the number using a period, like this: 12345.5555)
 

 

Work Phone (Enter the number using periods, like this: 333.444.5555)
 

Cell Phone (Enter the number using periods, like this: 333.444.5555)
 

Fax (Enter the number using periods, like this: 333.444.5555)
 

Pager (Enter the number using periods, like this: 333.444.5555)
 

Alt-Phone (Enter the number using periods, like this: 333.444.5555)
 

 

Home Phone (Enter the number using periods, like this: 333.444.5555)
 

Home Email
 

Date Updated
 

Notes (Leave any message that you want the Database Manager to know.)