Welcome, login here

   

 

 

DUES AMOUNT $350

 

 

 

 

 

Payment Information

 

Pay By check

I would like to pay by check. Please send me an invoice

 

MasterCard Visa

 

American Express Discover

 

Name on card

 

Card number

 

Expiration date (mm/yy)

 

Security code

 

Street address

 

Suite/Apartment address

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

MEMBERSHIP APPLICATION: DEALER

 

Company Profile

 

* Company name

* First Name * Last Name
 
* Email Title
 
* Phone
 
* Street/Mailing address
 
Suite/Address 2
 
* City * State * Zip
 
Zip+4
 
* Member Resources Username

* Password
 
 
Mobile phone Referred By
 

* Opportunities to get involved with AIMED

 

I plan to attend the next conference and would like an experienced

AIMED member to show me around.

 

I have a friend or peer who should hear more about AIMED. Id like to get them some membership information.

 

I would like to help with one of the following committees:

 

Newsletter  write or organize articles for the Quarterly Newsletter.

 

Membership  design programs to recruit new members and assist in contacting prospective members.

 

Program  provide input for the programs at AIMED conferences.

 

Education  provide input on educational offerings that would be of value to AIMED members.

 

New Products  help AIMED find new product and service offerings that would be valuable to AIMED memberss.

NOTE: All text fields are required for application processing. Your credit card will be charged once your membership has been approved by the AIMED office.