MidMichigan Innovation Center

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Initial Contact Form

Before submitting an application to MidMichigan Innovation Center, please take a few minutes to review our Tenant Criteria list. If you have any questions about eligibility, please contact Brent Case for further information.

Name*:
Application Date:
Name of the Business*:
Primary Contact Number*:
	Cell Number:
	Home Number:
	Email*:
	Preferred Method of Contact:	Phone Email
	Business Address or Home Address:
	City:
	State:
	Zip:
	Brief Business Description:

		I am interested in…
		Office Space Lab Space Warehouse/Storage
		Production Virtual Tenant Sponsorship
		My business is in the…
		Idea Stage Early Stage Prototype Stage Selling Stage Mature Stage
		*Required Fields

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MidMichigan Innovation Center | Suite M | 4520 E. Ashman Rd., Midland, MI 48642 | 989.839.2333