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-or- download 2022 MADSA revised membership application.pdf

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1. First Time New Member Enrollment - $185.00 (USD) Subscription period: 1 year No automatically recurring payments

2. Provider of Adult Day Services - Annual Renewal (One Site) - $185.00 (USD) Subscription period: 1 year No automatically recurring payments

3. Additional Site - $25.00 (USD) Subscription period: 1 year No automatically recurring payments You must already have a full membership (1. or 2.) in order to register an Additional Site. You must also use a different e-mail address for each site.

4. Non-Provider Agency - Individual, Funding or Government - $185.00 (USD) Subscription period: 1 year No automatically recurring payments

MADSA • 600 Grand River Ave., Port Huron, Michigan 48060

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Michigan adult day services association