Annual MI-AIMH Membership Application - December to January

After purchasing a membership you will receive an e-mail from MI-AIMH requesting additional information, including additional demographics and committee preferences.

First name*
Last name*
Company/Organization/School
Address 1
Address 2
City
State/Province
Postal Code
Country
Phone
E-mail*
Discipline
Degrees
Employment (places of work)
Number of years working with young children, families
Ethnic/Racial Background (optional)
Committees for selection Awards
Conference
Development
Diversity
Endorsement
Membership
Nominations
Retreats
Social Issues
Training
Publications
Media Library
Membership Type 1-year Membership (one chapter): $60.00
1-year Membership + IMH Journal: $105.00
2-year Membership (one chapter): $100.00
Sustaining Member: $125.00
Organizational Membership: $500.00
Canada MI-AIMH Membership Plus IMH Journal (includes 7% GST Tax for Journal): $108.15
MI-AIMH Retiree: $30.00
MI-AIMH Student (must identify school): $30.00
MI-AIMH Student + IMH Journal (must identify school): $75.00
MI-AIMH Membership + World Association For Infant Mental Health Membership + IMH Journal: $175.00
Extra Chapter (DO NOT purchase extra chapter until you have purchased a membership): $5.00
Comments/Questions