MASFSA Membership Application

Please complete the On-line Application below.
You will receive an E-mail Confirmation once completed for your records.

PAYMENT must be attached to a registration form if not paying on-line. The Invoice can be printed after you register.

Pay online (using Credit Card or ACH) or Make Check Payable to MASFSA and mail to:
Shelia Stewart
Wayne State University
Student Accounts Receivable Office Room 422
42 Warren Ave.
Detroit, MI 48202

For questions about payments, please contact Shelia Stewart by e-mail at sheliastewart@wayne.edu or by phone at (313)577-5122.

Use the Tab key or mouse to select the fields below. If you need to change a field, go to the field & change prior to clicking Submit.

Message:

Items marked with are required.

Membership Information

Institutional Membership - a post-secondary institution operating in the state of Michigan. Annual Fee - $100.
Associate Membership - any business or organization that regularly performs services which support post-secondary institutions in the state of Michigan. Annual Fee - $200.

Membership Type:
Membership Annual Fee:

Organization Information

Institution or Business Name:
Address 1:
Address 2:
City:	State: Zip:
Institution Type:

Representative 1 Information

Name:	(First/MI/Last)
Job Title:
Phone:	(Include Area Code and Extension)
Email:

Representative 2 Information

Name:	(First/MI/Last)
Job Title:
Phone:	(Include Area Code and Extension)
Email: