Page Title

Membership Form

First Name:

Last Name:

School:

School System:

Work Phone:

Email Address:

Home Phone:

Mailing Address:

City:

Zip:

Fax Number:

Membership
Category:

Committee
Preference

Membership
Categories

$25 Active Membership
$50 Corporate
Membership
$5 Student Membership
$5 Retired Membership

Mail check to:

AIMA
607 Candle Lane
Birmingham, AL
35214

Printable Versions of
Membership Form

MSWord format
PDF format

District:

District