Application Form

Fill in the information below to apply for Southwestern Michigan Estate Planning Council membership.

Personal Information

Office Information

Disciplines

Please indicate what discipline(s) you practice. You may select up to 5 disciplines.

Applicant Questionnaire




(Signature of applicant, if printing)
Date: Sunday, May 26, 2019

Please contact pam.dolezan@chemicalbankmi.com with questions about council membership.