Membership Signup

The following information will be electronically submitted to the Membership Committee. IOMGIA reserves the right to deny or revoke membership in accordance with the Association By-Laws.

New and Renewing Members will be required to submit a photocopy of their agency issued credentials via fax or email.

Membership fee is $35. Your application will not be approved until payment is received and your photo id is verified. After completing the form below you will be given access to the online payment page.

Name(Required)
Agency Mailing Address(Required)
Email(Required)
MM slash DD slash YYYY
Acceptable file types: doc, pdf, txt, gif, jpg, jpeg, png
Max. file size: 8 MB.
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