General Member Application

LIMITED TIME SPECIAL DISCOUNT ON MEMBERSIHP FEE:
If you are currently a member of a marketing association in your country or region, you may be able to take advantage of a 25% discount on the following 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.

IIMP® MEMBERHSHIP CATEGORIES:

Singular Membership Fees (without discount):
1) Student Member Annual Fee: $50 (CAD)
2) Regular Member Annual Fee: $100 (CAD)
3) Professional Member Annual Fee: $150 (CAD)
4) CMMP® Member Annual Fee: $200 (CAD)
5) Corporate Member Annual Fee (Five Members): $500 (CAD)
6) Fellow Member Annual Fee: $90 (CAD)

Dual Membership Fees (with 25% discount):
1) Student Member Annual Fee: $37.50 (CAD)
2) Regular Member Annual Fee: $75 (CAD)
3) Professional Member Annual Fee: $112.50 (CAD)
4) CMMP® Member Annual Fee: $150 (CAD)
5) Corporate Member Annual fee (Five Members): $375.00 (CAD)
6) Fellow Member Annual Fee: $67.50 (CAD)

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MEMBERSHIP TYPES (PLEASE SELECT ONE):

Membership Type:

Annual Membership Fee:

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INDIVIDUAL INFORMATION:

Salutation:

Surname:

Given Name:

Middle Name:

Home Phone:

Cell Phone:

Email

Link to Online Profile:

Address:

City:

Postal/Zip Code:

Province/State:

Country:

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EMPLOYMENT INFORMATION (IF APPLICABLE):

Employer Name:

Job Title:

Website:

Work Phone:

Address:

City:

Postal/Zip Code:

Province/State:

Country

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STUDY INFORMATION (REQUIRED FOR STUDENT MEMBERSHIP):

Institution Name:

Program Enrolled:

School Website:

School Phone:

Address:

City:

Postal/Zip Code:

Province/State:

Country

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DUAL MEMBERSHIP INFORMATION:
Membership Information with other Marketing Association
(Complete this section, if applying for dual membership special discount)

Association Name:

Membership No.:

Contact Name:

Website:

Phone:

Address:

City:

Postal/Zip Code:

Province/State:

Country

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AUTHORIZATIONS:
Include your information in IIMP®’s online membership directory:  Yes  No
Permit third parties to contact you about promotional information:  Yes  No

Email you information about IIMP®’s upcoming events and activities: Yes  No
Do you confirm that you agree with IIMP's Membership Agreement?:  Yes  No
(Agreement can be found in the membership menu)

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