Induction Fees

This is a non-refundable fee. It is required in order to process a new enrollee into our program and by no means covers the cost of the program. Please complete and submit this form and submit payment only if you/your sponsee have been accepted into the program and you wish to pay this fee by credit card or direct debit.

Contribution Amount

Induction Fee - $ 1,200.00

Other Amount

Other Amount $

Total Amount

Email Address *

Resident

Select the button below to fill in the Resident ID# field as well as the name of the resident for which you are paying. If you are unsure of the Resident's ID# you can get that by contacting Doug King or Carey Rinke in our Resident Services office at (313)-531-0111. This will assure that your resident is properly credited with this payment.

Resident Induction Fee

Select an option to reveal honoree information fields.

Resident ID # *

First Name *

Last Name *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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Induction Fees