Join or Renew Your Membership

To join us either: (1) Fill out the form below and pay with Paypal or print and complete the membership application/renewal form. Then mail the completed form to NMAIMH with payment, or (2) Download and complete the membership application/renewal form. Email the completed form to admin@nmaimh.org and submit your credit card payment here. You do not need a PayPal account to pay with a credit card.

If you pay the student membership rate, please mail, fax, or email a copy of your current student identification card to the NMAIMH (630 Manzano St. NE, Suite B, Albuquerque, NM 87110), or (866) 800-9776, or admin@nmaimh.org.

Agency Memberships are available at a reduced cost for organizations sponsoring 10 or more employees for membership. Contact admin@nmaimh.org for information and agency application information.

Please complete the form below to join or renew your membership

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

Email Address *

Profession/Position *

Member of WAIMH *

Yes

No

Membership Category *

Regular Membership

Student Membership

Yes, please add me to the NMAIMH Mailing List *

Yes

Not at this time

Subject *

Message *