AAIM Membership Card

Name:

We are Gender and Sexuality Friendly!

Transgender:



Marital Status:

We will recognize your marital status Gay or Straight (even though Mississippi doesn't)!

Know Your Status:

Please fill in physical address, even if it is the same as your mailing address.

(Include Area Code - Example: 601-944-1403)

Please Read Carefully!
By submitting this membership card, I am volunteering my time and keeping all that has been discussed at any event "highly confidential" unless it is public information. If I breach my membership as contracted with AAIM, I will lose my membership and might face legal action on the matter of confidentiality of a person, status, or their whereabouts.