applica.html

Hard Copy Application Form

for mail or fax

Association of International Medical Services

------------------------------------------------------------cut-----------------------------------------------------

MEMBERSHIP APPLICATION

Criteria for AIMS membership:

A Seventh-day Adventist professional in a health-related fields
interested in participating in the activities of AIMS in support of its purposes .

Membership includes a subscription to the AIMS Journal.

You are urged to send reports of the activities of your chapter and articles of interest to
our worldwide readership to the international headquarters in Loma Linda to be published in upcoming issues of the AIMS Journal.

Name________________________________________________

Address______________________________________________

____________________________________________________

telephone: (___) ____-_________ext____________

email:____________@____________________

fax: (___) ____-_______________________

Occupation____________________________________________

__ MD __ DDS __ DO Specialty________________

__OT __ PT __ RN __ RT __ Student Other_______________

Annual Memberships

__ Regular -- $ 100

__ Student -- $10

__ Sustaining Member -- $350 (Regular + $250)

__ Retired or full time denominational employee -- $25

Life Memberships

__ Local Life US -- $1,000 US

__ Regional Life US -- $2,000 US

__ National Life US -- $4,000 US

__International Life US -- $7,500 US

__ Global Life US -- $12,500 US

__ Universal Life US -- $25,000 US

(International chapters set their own fees and retain the monies.)

Make checks payable to:

The Association of International MedicalServices
1245 Anderson Street, Suite 200
Loma Linda, CA 92354 USA

Comments and News from My World:

_________________________________________________________________

------------------------------------------------------------cut-----------------------------------------------------

Return to:

The Association of International MedicalServices
11245 Anderson Street, Suite 200
Loma Linda, California, 92354 USA

telephone (909) 824-4633
fax (909) 824-4638

Home Page