The 55th Michigan State Covention

*Note: Membership to this portal is Verified. Once your account information has been submitted, you will receive an email containing your unique Verification Code. The Verification Code will be required the first time you attempt to sign in to the portal environment. All fields marked with an asterisk (*) are required.

First Name: Enter your First Name	*
Last Name: Enter your Last Name	*
User Name: Choose a User Name. If the user name already exists you will get an opportunity to select an alternate name.	*
Password: Choose a Password	*
Confirm: Re-Enter your Password to confirm the typing	*
Email Address: Enter your Email Address	*
Website: Enter your Website Address
Instant Messenger ID: Enter your Instant Messenger (Yahoo, AOL, MSN etc) ID

Street: Enter the Street part of your Address (eg 1 Main Street)	*Street Is Required.
Unit #: Enter the Unit # or Apartment #
City: Enter the City	*City Is Required.
Country: Enter the Country	*Country is Required.
Region: Enter the Region	*Region Is Required.
Postal Code: Enter the Postal Code	*Postal Code Is Required.
Telephone: Enter Telephone No.	*Telephone Number Is Required.
Cell: Enter Cell Phone No.	*Cell Phone Number Is Required.
Fax: Enter Fax No.	*Fax Number Is Required.

Preferences

Preferred Language: Select your preferred language from the available Locales
Time Zone: Select your Time Zone