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6021 Parkside Drive
Monroe, MI. 48161
Phone: 734-241-5881

The Mon-Arc of Monroe, Inc.

First name*

Last name*

Street Address*

Street Address Line 2

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Phone

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MembershipType

Renewal

New Member

Gift Membership

Membership Level Please select your choice*

Individual with disabilities

Individual/Family Membership $25.00

Silver Membership $50.00

Bronze Membership $100.00

Gold Membership $200.00

Patron Membership $500.00

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I would like to include the additional processing fee of $0.98 to the payment.

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