IEMC Membership
Membership in IEMC is $10.00 for one year and $18.00 for two years. After completing this form, you will have the following payment options: credit card, check, cash, or PO.
First Name *
Last Name *
School/District Name or Work Site
Mailing Address (Number and Street)
Can be your school address or your home address.
City
Zip Code
Preferred E-mail Address *
Most communication from IEMC is done via e-mail.
Preferred Phone Number
Format: xxx-xxx-xxxx
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