2024 WI-AIMH Membership

2024 Membership:

Wisconsin Alliance for Infant Mental Health
All professionals who work with or on behalf of infants, young children, and their families can benefit from WI-AIMH Membership!
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Your membership begins upon payment and expires on December 31, 2024. 
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If you have any questions related to Membership, please reach out!

kevans@wiaimh.org

There are two ways to apply for WI-AIMH Membership!

Individually	As a group
Just you?	You and 3 or more friends?
A couple friends?	Register together and save 25%!
$60 per person	$45 per person

Please note: We no longer offer Agency Memberships. Registering as a group does not allow for swapping Members in/out of your group. Moreover, registering as a group doesn't mean you have to work for the same agency.

How many people (including yourself) would you like to register for Membership?*

Your Contact Information
Name*

First NameLast Name
Email*

Confirmation EmailConfirm email address.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Information
Company*
Job Title*
Additional Information
In which Wisconsin county (or counties) do you work? Please list all that apply.
Do you hold I/ECMH-Endorsement in Wisconsin or another state?
With which group do you identify?

Asian/Pacific IslanderAfrican American/BlackCaucasian/White AmericanIndigenous/Native AmericanHispanic/LatinX AmericanMulti-racial AmericanOther
To become a WI-AIMH Member, we ask that you subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #2's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Company
Job Title
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #3's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Company
Job Title
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #4's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Company
Job Title
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #5's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Company
Job Title
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #6's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Job Title
Company
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #7's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Job Title
Company
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #8's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Job Title
Company
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

Member #9's Contact Information
Name

First NameLast Name
Email

Confirmation EmailConfirm email address.
Organization Information
Job Title
Company
Additional Information
In which Wisconsin county (or counties) do they work? Please list all that apply.
To become a WI-AIMH Member, we ask that they subscribe to our monthly newsletter.
To become a WI-AIMH Member, you must subscribe to our monthly newsletter, Early Relationships Matter.

Please add info@wiaimh.ccsend.com to your email contact list.

By clicking continue below, you agree to receive these electronic monthly newsletters, as well as other marketing messages about Professional Development opportunities that are available!

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2024 Membership:

All professionals who work with or on behalf of infants, young children, and their families can benefit from WI-AIMH Membership!

Your Contact Information

Member #2's Contact Information

Member #3's Contact Information

Member #4's Contact Information

Member #5's Contact Information

Member #6's Contact Information

Member #7's Contact Information

Member #8's Contact Information

Member #9's Contact Information

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