AIMS - Membership Application

Membership Application

Member benefits begin upon receipt of application and dues payment in full. Membership is payable by both credit card and check in USD (U.S. Dollars). Checks may be made out to "AIMS".

Type of
Application:

	Active - $360 Annually
	Associate - $100 Annually

Company:

Address 1:

Address 2:

City:

State/Province:

Postal Code:

Country:

Phone 1:

Phone 2:

Phone 3:

Email:

Web site:

Services:

If paying by credit card, please enter your information below.
Otherwise, indicate the check number that you will be sending below.

CC Type:

CC Num:

CC Exp:

Check Num: