Application

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Name of Organization *

Phone

Website

Email *

Facebook Page

Purpose of Organization

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Address

Address Line 1

City

State

Zip Code

Please confirm that the details above maybe displayed on the PAON website? *

Organization’s Representative Information

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Name of Organization’s Representative to PAON *

Title/Position *

Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Membership Dues $250.00 Annually

Method of payment

Check
PayPal

Checks are made payable to PAON and mailed along with a copy of the application to
37264 Blake Drive, Livonia, MI 48150
Returned checks are subject to $40 service charge.

By selecting this button, you agree to abide by PAON bylaws in its entirety. * *

Yes

Annually Fees

Price: $250.00

Application

Organization’s Representative Information

Membership Dues $250.00 Annually

Overview

Organizations Info