2/7/2016  

 
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IMA Membership Application

Contact Information

First Name *
Last Name *
Synod *

Address 1 *
Address 2
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Office Phone
Cell Phone

Optional Information

Interim Training Level No Training
Discernment
Basic Course
Advanced Course

Roster Associate in Ministry
Clergy
Diaconal Ministry
Deaconess

Present Position

Task Forces I would be willing to serve
(Check all that apply):
Membership
Advocacy (with synods and congregations)
Communications (newsletter and website)
Other (list area of interest):

IMA Dues

2016 Membership

2016 Membership - $60
2016 Synodical Membership - $100

Life Memberships

Life Membership: Up to 55 years $600
Life Membership: Ages 5660 $420
Life Membership: Age 61 + $300

Please make sure all of your information is accurate before you click the button.



2016 Annual Conference

June 9-11, 2016

Alexis Park All Suite Hotel
375 E. Harmon Ave.
Las Vegas, Nevada 89169

This is a non-gaming hotel
located 1 mile from the airport.

Thanks to all who made the 2015 Annual Conference with Peter Steinke a great time.

Conference Information
Additional Information
Conference Presenter
Online Registration Form