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Regular Member Online Application

Special Membership Discount
If you are currently a member of a marketing association in your country or region, you will be able to take advantage of a 50% discount on our Membership fees (Information must be provided about your involvement in the association for verifications purposes).



Payment Instructions: Please note that the next screen will continue with payment by credit card via PayPal, keep your credit card ready before proceeding.

If you are interested in the practice, teaching or research in specific areas of marketing may qualify to apply to become an IIMP™ regular member:

• Regular Member annual fee for new membership: $140.00 (U.S. Funds).
• Regular Member annual fee for renewal membership: $130.00 (U.S. Funds).
• Discounted annual fee for existing members of any recognized marketing
associations: $70.00 (U.S. Funds).


Individual Information

Surname:
Given Name:

Middle Name:

Home Phone:

Cell Phone:

Email:

Address:

City:

Postal/Zip Code:

Province/State:

Country:



Please check box, if this is your preferred mailing address.



Employment Information

Employer Name:

Your Job Title:

Website:

Work Phone:

Address:

City:

Postal/Zip Code:

Province/State:

Country:



Please check box, if this is your preferred mailing address.



Online Login Information

Login Name: 5-12 letters/numbers

Password: 5-12 letters/numbers




Payment Information

Membership Fee: (U.S. Funds)

Please note: the next screen will continue with credit card payment by PayPal.



Membership Information with other Marketing Association
(Complete this section, if applying for special discount)

Association Name:

Your Membership No:

Website:

Contact Name:

Phone:

Address:

City:

Postal/Zip Code:

Province/State:

Country:


Check box, in order to authorize us to verfiy your memberhsip information



Authorizations

Include your information in IIMP™’s online membership directory.
Email you information about IIMP™’s upcoming event and activities.
Permit third parties to contact you about promotional information.
Accept IIMP™'s Membership Agreement.


Comments/Questions (optional):



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