Membership at IAM



We would like to get to know a little bit about you and your work. Please fill out the form below and submit it to us. That's all there is to it. A representative from the Indiana Association of Mediators will be in touch by phone or e-mail.
Last Name:
First Name:
Company:
Address:
Suite:
City:
State:
Zip:
Phone:
E-mail:
Fax:
Occupation:
Membership: Yes, I wish to join.No, but I would like information.
Comments:

Please make your check payable to Indiana Association of Mediators and send it to:

Indiana Association of Mediators
Attn: Rick Wacker, Treasurer
4520 W. Jurist Ct.
Trafalgar, IN 46181

Do not send cash. At this time, we do not accept credit cards. If the Online Form is submitted, an IAM representative will get in touch to answer your questions. If you wish to join the Association, fill out the membership application form and submit it with your check for dues to the address indicated on the form.