Welcome, login here

   

 

I would like more information about

 

becoming an AIMED Affinity Partner

 

becoming an AIMED Discount Partner

 

exhibiting at AIMED conferences

 

 

 

 

* 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: ASSOCIATE

 

Company Profile

 

* Company name Year founded
 
* First Name Last Name
 
Title
 
* Street/Mailing address
 
* City * State * Zip
 
* Phone ( ) - Extension

* Fax ( ) -
 
* Email
 
* Website www.
 
# of employees Referred to AIMED by
 
* Member Resources Username

* Password
 
Other contact to be listed in the AIMED membership directory
 
Name Title
 
Email
Mobile phone Referred By
 

 

 

* Company Description

 

Please type a brief summary of your company and services/products as you would like it to appear in the Associate Membership Directory:

 

 

 

 

* Annual Membership

 

Platinum $2000     Gold $750
 

GOLD LEVEL MEMBERSHIP

In recognition of your commitment,  gold sponsorship as an AIMED Associate Member includes:

· Access to AIMED dealer mailing and email list

· Listing on AIMED website

· Opportunity to participate in Vendor Showcase and sponsorships at AIMED Conferences

· Opportunity to participate in AIMED advertising

 

PLATINUM LEVEL MEMBERSHIP

All of the benefits of Gold sponsors, plus:

· First choice on booth location at Vendor Showcase

· First choice on advertising and sponsorship opportunities

· Opportunity to participate in the AIMED Affinity Partner Program

· Recognition on signage and from the podium at the AIMED National Conference

 

 

 

 

 

 

 

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.