Thank you for taking the time to check into our project. We hope that you will take a few minutes and fill out the following information so that we can begin to organize our community. Please know that NONE of your information will be given out, sold, nor abused in any other way. We look forward to having your involvement and support! To learn more about the MCA, click here. Please contact Michael Schaafsma with any questions or issues you may have at (231) 206-0426 or by email.
First Name:		Last Name:
Phone:		Alt Phone:
Email:				Add you to our e-mailing list?    Yes, please    No, thank you
Address:
City:		State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY	Zip Code
Company/Group:		Please Describe Medium/Business Type:
Web Site:
Please Tell Us Your Interest in the MCA: (Check all that apply)
being a regular customer being a member financial investing in the MCA project. being a part of the artist/healer community. selling my art in the general gallery. a time-share resident healing space. a resident studio space with designated gallery. a resident studio space WITHOUT designated gallery. a resident healing suite with an office. a resident consulting office. having a play/skit/or other performance. having a musical performance. teaching classes. holding a seminar. me or my business supporting the MCA in another manner and will comment on it below. having my business/group have a cross-promotional/professional relationship with the MCA. something not listed and will comment on it below.
Please elaborate on your interests, and add any other comments: