IMA Membership

If you are purchasing this membership for another, please add your name and contact information below

PrefixFirst NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

________________________________________________________________________________

Member name and contact information

PrefixFirst NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

Title

Organization

If purchasing a Level 3 or Level 4 membership, please provide co-representative contact information

________________________________________________________________________________

Membership Levels & Fees

Level 4 - Corporate/Government $275

This is for a corporation or a government agency, whether federal or local. Membership may include two persons rather than simply listing the name of the organization. One person will be the primary member and the second is the co-representative. Both will receive the same membership benefits and all mailings and information. A second delegate is not required.

Level 3 - Non-Profit Institutional $100.00

The non-profit institutional membership is like the corporate membership but is geared toward educational and other community-based not-for-profit organizations. This membership allows you to name two individuals to receive membership benefits and information/ A second delegate is not required.

Level 2 - Individual $65.00

This membership is for one person who may work at any organization or institution.

Level 1 - Student $40.00

For currently enrolled students only. Confirmation of full-time student status must be included with the membership form or mailed separately to finalize web applications. (Transcripts or a signed letter from the admissions department will be accepted as proof).

Membership is accepted at any time of year. However, the IMA fiscal year begins January 1 and ends December 31, so the earlier in the year you join, the more benefits you will receive. Renewal reminders are sent in November. Please note that membership privileges like web site access automatically end January 1st each year.

Please select one membership option

Level 4 - Corporate/Government($275.00 for each year)

Level 3 - Non-Profit Institutional($100.00 for each year)

Level 2 - Individual($65.00 for each year)

Level 1 - Student($40.00 for each year)

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IMA Membership Registration

Please select one membership option