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Membership > Application Form

Membership dues are $50.  Then, dues are paid annually in April of each year.  We regret not being able to prorate the dues payment to be included with your application for membership.  Dues support the annual conference, publication of the newsletter, and operational expenses of IAM.  Dues will not be used to support any political party or candidate

Please complete and submit this form and then follow dues payment instructions below the form....................

Name
first last
Title
Company
Address
street line 1
street line 2
, city, state/prov zip
Email
Phone
Fax
*Membership Desired (check one):
Organizational* ($125)
Benefactor ($100)
Regular ($50)
Student, K-College ($30)
*An organizational membership is considered a sponsorship and carries no voting rights.
*Status (check one):
Volunteer
Paid Professional
IAM Committees Interested In Serving On (check all that apply):
Legislative
Newsletter and Publications
Conference
Public Relations and Members
Method of Payment
Check
Credit Card / PayPal

Note: Please do not include any URLs in form.
Dues Payment

 

Or mail a check with the membership dues to

Iowa Association of Mediators
c/o A. M Fink, Treasurer
222 S Russell
Ames, IA  50010