GROUP MEMBERSHIP REGISTRATION FORM

Thank you for your IMGMA Group Membership Registration.  

Please follow these steps:

1.  Identify the Group Primary Dues Contact Person

2. Complete this online form

3. Download and complete the GROUP MEMBER LIST Document.  You will be asked to upload this form below.

OR

- Download and complete this Group Membership Application

- Call 319-560-0435 for assistance

- Email:  imgma@imgma.org

 


Primary (Dues) Contact Full Name::
Primary (Dues) Contact Title::
Organization Name::
Organization Primary Mailing Address::
Organization Primary City, State, Zip:
Primary Contact Phone::
Primary Contact Email (REQUIRED)::
Organization Specialty::
Please select the Tier Membership that you are registering for::
Tier 1 (1-4 members) 10% event discount
Tier 2 (5-8 members) 15% event discount
Tier 3 (9-16 members) 20% event discount
Tier 4 (17-32 members) 25% event discount
Upload the Group Members List for your Organization Here::
How will you be paying for the Group Membership? :
Check (An invoice will be emailed)
Credit Card (We will call you for payment)