Thank you for applying for CHIPS membership!
The CHIPS membership runs on the calendar year, January through December, no matter what time you join. That means your membership won’t expire until Dec. 31, 2021.
If you have any questions about CHIPS membership or this form, please email us at firstname.lastname@example.org, or call us at 734.522.7200 and ask for Esther or Elizabeth to assist you.
Complete the form below to apply for your joint CHIPS membership.