Charter Membership Application

To apply for membership in MITA, please complete this online application, or you may fax or mail a printed copy to:

Michigan International Trade Association
121 West Long Lake Road
1st Floor
Bloomfield Hills, MI 48304

Fax: (248) 692-0326  

For additional information about membership, contact us at [email protected] or (248) 549-4900.

Membership Level Desired (choose one)
Associate (US $250)
Business (US $750)
Executive (US $1,500)
Sponsor (US $2,500)
Founder (US $5,000)
Contact Information (required)
Company Name
Contact Person 
(Name, Title)
Phone Number
Fax Number
Street Address
Street Address 2
(leave blank if none)
City, State, Zip
Email Address
Website Address 
(leave blank if none)
Company Information (optional)
Main Business Activity
Principal Products/Services
Number of Employees US: International: